Credentialing Specialist - 100% Remote

About the role

We are expanding our fully remote healthcare organization, Expressable, and are now hiring a Credentialing Specialist. Expressable is a virtual speech therapy practice dedicated to improving access to care and setting a new standard in speech therapy.

Responsibilities

• Maintain individual provider files to include up-to-date information needed to complete the required governmental and commercial payer credentialing applications.
• Maintain accurate provider profiles on CAQH, NPPES, and any other applicable profiles.
• Complete credentialing applications to add current and new providers to commercial, Medicaid, and Medicare payers.
• Work closely with current and onboarding providers to obtain all necessary information to complete the credentialing and enrollment process.
• Audit provider information in various systems.
• Follow up with payers as it relates to credentialing, enrollment, and demographic updates.
• Research payer processes as it relates to credentialing, enrollment, and demographic updates.
• Assist in identifying and resolving any denials or authorization issues related to provider credentialing.

Requirements

• High school diploma or equivalent required.
• Hands-on experience completing and submitting credentialing and enrollment applications for commercial payers, Medicaid, and Medicare.
• Prior experience working directly with providers to collect, validate, and update credentialing information.
• Familiarity with auditing provider data across multiple systems and resolving discrepancies.
• Exposure to denial resolution or authorization issues related to credentialing strongly preferred.
• Proficiency with credentialing platforms and databases.
• Strong working knowledge of payer credentialing and enrollment workflows.
• Experience with electronic document management and maintaining compliant provider files.
• Proficient with standard office productivity and collaboration tools (Docs/Word, Sheets/Excel, email, shared drives, etc.).

Qualifications

• Detail Orientation & Quality Control: Maintains a high level of accuracy across provider data, documentation, and submissions; proactively audits information across systems to identify and correct discrepancies; prevents downstream denials or delays through careful review and validation.
• Process Management & Follow-Through: Manages multiple applications, re-credentialing cycles, and deadlines simultaneously; follows up consistently with payers and internal partners to drive work to completion; documents actions and status clearly to ensure continuity and visibility.
• Provider & Stakeholder Communication: Communicates clearly and professionally with providers to obtain complete and accurate information; sets expectations around timelines and requirements to reduce friction and rework; serves as a reliable point of contact for credentialing-related questions.
• Problem Solving & Issue Resolution: Researches payer processes to resolve credentialing, enrollment, or demographic issues; investigates denials or authorization problems tied to credentialing status; escalates appropriately and proposes practical, compliant solutions when barriers arise.

Skills

• Detail Orientation
• Process Management
• Provider & Stakeholder Communication
• Problem Solving & Issue Resolution

Benefits

Expressable offers exceptional paid time off policies, health insurance options, and company-paid life, short-term disability, and long-term disability coverage. This is a remote position with occasional light lifting up to 10 pounds.

Pay

$22.00-$27.00 per hour

Schedule

This is a full-time non-exempt role.