Credentialing Specialist (Dental / Healthcare)

Location: Remote
Type: Full-Time
Schedule: Must have overlap with U.S. business hours
Compensation: Depending on experience and location

About the Company

We are a growing healthcare services organization focused on supporting provider enrollment, payer credentialing, and operational excellence across the healthcare and dental industries. We are seeking a highly detail-oriented Credentialing Specialist to support provider onboarding, payer enrollment, and ongoing credential maintenance processes.

This is an excellent opportunity for someone who thrives in process-driven environments, understands U.S. healthcare or dental credentialing workflows, and can independently manage applications, follow-ups, and documentation with accuracy and urgency.

The Opportunity

We are looking for a Credentialing Specialist with at least 2 years of experience in dental or healthcare credentialing. This role will be responsible for managing payer applications, maintaining provider data, handling CAQH updates, and supporting ongoing enrollment and recredentialing processes.

The ideal candidate is organized, proactive, highly detail-oriented, and comfortable navigating multiple payer portals and systems simultaneously.

Key Responsibilities

Provider Credentialing & Enrollment

Complete and submit payer credentialing and enrollment applications accurately and on time
Manage initial credentialing, recredentialing, and provider updates
Maintain provider records and supporting documentation
Track application statuses and proactively follow up with insurance payers
Ensure provider information remains current across all systems and portals

CAQH & CredentialStream Management

Maintain and update CAQH provider profiles
Work within CredentialStream and other credentialing platforms
Upload and organize required credentialing documentation
Monitor expiration dates for licenses, malpractice insurance, certifications, and related documents

Payer Communication & Follow-Up

Communicate with insurance payers regarding application status, missing information, and approvals
Resolve credentialing issues or discrepancies efficiently
Maintain organized logs and reporting related to credentialing activity

Administrative & Operational Support

Maintain accurate spreadsheets and credentialing trackers using Excel
Assist with audits and compliance documentation as needed
Support internal operational workflows and process improvements

Requirements

Minimum 2 years of credentialing experience in healthcare or dental environments
Strong experience with:
- CAQH
- CredentialStream
- Excel / Google Sheets
- Completing payer applications
Familiarity with U.S. healthcare insurance and credentialing processes
Excellent organizational and documentation skills
Strong written and verbal English communication
Ability to manage multiple deadlines and follow-up tasks simultaneously
High attention to detail and accuracy

Preferred Qualifications

Experience credentialing dental providers
Familiarity with Medicare, Medicaid, and commercial payer enrollment
Experience working remotely with U.S.-based teams
Knowledge of provider compliance documentation and audits

Ideal Candidate Traits

Process-oriented and highly organized
Persistent with payer follow-ups
Comfortable working independently
Strong sense of ownership and accountability
Able to prioritize effectively in a fast-paced environment

What Success Looks Like

Credentialing applications are submitted accurately and on time
Provider records remain organized and fully up to date
Payer follow-ups are handled proactively
Recredentialing deadlines are never missed
Internal teams can rely on clean, accurate credentialing data

Credentialing Specialist - 19593