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Credentialing Specialist
KyoCredentialing Specialist at Kyo empowering children with autism through ABA therapy. Managing credentialing, compliance, and staff onboarding for clinical teams across multiple states.
Posted 7/29/2026full-timeRemote • Arizona, California, Colorado, Florida, Oregon, Tennessee, Texas, Utah, Washington • 🇺🇸 United StatesMid-LevelSenior💰 $2,788 - $3,125 per hourWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates strong knowledge of the credentialing process, compliance with regulatory standards, and effective database management skills. Capable of leading and facilitating processes through collaboration while maintaining confidentiality and attention to detail.
Highest-signal resume keywords
Credentialing Process KnowledgeDatabase Management SkillsRegulatory Compliance ExperienceStrong Organization SkillsVerbal Communication Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Database ManagementCredentialingMedical TerminologyQueryingReportingDocument GenerationProject ManagementProblem-SolvingAttention to DetailIndependent Judgment
Soft Skills
Team CollaborationInitiativeAdaptabilityConfidentiality Management
Tools & Technologies
Microsoft OfficeG SuiteAsanaCAQHNPPESJIRA
Industry Keywords
HIPAAAccreditation StandardsState RequirementsFederal RequirementsPayer Requirements
About the role
Key responsibilities & impact- Managing credentialing, recredentialing, and licensure process for clinical staff with health insurance plans, certification boards and other agencies
- Ensuring compliance with various state, federal and payer requirements
- Responsible for pre-application intake, monitoring, application submission and follow up
- Maintaining an efficient and compliant on-boarding process
- Inputing/Updating provider credential databases CAQH and NPPES
- Ongoing monitoring of clinical staff’s credentials to ensure licenses and certifications are current and active
- Working closely with internal departments to exchange provider information and follow up on inconsistencies
- Assisting with other miscellaneous duties in the Revenue and Contracting department
Requirements
What you’ll need- Bachelor's Degree preferred but not required
- Demonstrated proficiency with productivity software and project management software (Microsoft Office, G Suite, Asana)
- Database management skills including querying, reporting, and document generation
- Ability to work independently and as part of a team
- Ability to work in a fast paced, expanding organization
- Strong knowledge of the credentialing process and accreditation and regulatory standards. Ability to lead and facilitate processes through influence and collaboration
- Working knowledge of Medical Terminology
- Strong organization and verbal communication skills, attention to details required
- Ability to use independent judgment to manage and impart confidential information
- Demonstrated problem-solving skills and initiative to analyze and disseminate relevant credentialing data across internal company departments
- Ability to make priority determinations without direct supervision
- Preferred: Experience with provider credential databases CAQH, NPPES
- Preferred Experience with JIRA
- Preferred: Experience with HIPAA and compliance-sensitive environments
- Willingness and ability to provide proof of completed COVID-19 vaccination and booster (if eligible), no later than your scheduled start date. If you believe you are entitled to either a medical or religious exemption to our vaccination requirement, please notify your Kyo interviewer immediately so that your situation can be evaluated by Human Resources
Benefits
Comp & perks- 🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Kyo Website LinkedIn All Job Openings 501 - 1000 employees 🏥 Healthcare ⚕️ Healthcare Insurance 🧘 Wellness Healthcare
- Healthcare Insurance
- Wellness Kyo is a company that provides specialized therapy services for children with autism, focusing on Applied Behavior Analysis (ABA) therapy. They offer in-home, school-based, and center-based therapy options, and also provide autism testing and diagnosis. Kyo operates in multiple locations across the United States, including major cities like Los Angeles, San Diego, Phoenix, Miami, and more. Their Kyo Care app enables parents to conveniently manage their child's therapy program. Kyo emphasizes transparency, honesty, and ethical standards in their approach to therapy, aiming to achieve meaningful, measurable results that matter to the child and their family. Credentialing Specialist 🔥 2 minutes ago 🌵 Arizona, California, +7 more states – Remote 💵 $2.8k - $3.1k / hour ⏰ Full Time 🟡 Mid-level 🟠 Senior ✨ Credentialing Specialist Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
- Managing credentialing, recredentialing, and licensure process for clinical staff with health insurance plans, certification boards and other agencies
- Ensuring compliance with various state, federal and payer requirements
- Responsible for pre-application intake, monitoring, application submission and follow up
- Maintaining an efficient and compliant on-boarding process
- Inputing/Updating provider credential databases CAQH and NPPES
- Ongoing monitoring of clinical staff’s credentials to ensure licenses and certifications are current and active
- Working closely with internal departments to exchange provider information and follow up on inconsistencies
- Assisting with other miscellaneous duties in the Revenue and Contracting department 🎯 Requirements
- Bachelor's Degree preferred but not required
- Demonstrated proficiency with productivity software and project management software (Microsoft Office, G Suite, Asana)
- Database management skills including querying, reporting, and document generation
- Ability to work independently and as part of a team
- Ability to work in a fast paced, expanding organization
- Strong knowledge of the credentialing process and accreditation and regulatory standards. Ability to lead and facilitate processes through influence and collaboration
- Working knowledge of Medical Terminology
- Strong organization and verbal communication skills, attention to details required
- Ability to use independent judgment to manage and impart confidential information
- Demonstrated problem-solving skills and initiative to analyze and disseminate relevant credentialing data across internal company departments
- Ability to make priority determinations without direct supervision
- Preferred: Experience with provider credential databases CAQH, NPPES
- Preferred Experience with JIRA
- Preferred: Experience with HIPAA and compliance-sensitive environments
- Willingness and ability to provide proof of completed COVID-19 vaccination and booster (if eligible), no later than your scheduled start date. If you believe you are entitled to either a medical or religious exemption to our vaccination requirement, please notify your Kyo interviewer immediately so that your situation can be evaluated by Human Resources Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score Similar Jobs Credentialing Specialist 🕒 Yesterday Capitol Imaging Services 501 - 1000 🏥 Healthcare 🤖 Artificial Intelligence 👥 B2C Website LinkedIn All Job Openings Credentialing Specialist responsible for ensuring provider enrollment and cut down on insurance denials. Managing healthcare provider credentials and compliance in a fully remote environment. 🇺🇸 United States – Remote ⏰ Full Time 🟡 Mid-level 🟠 Senior ✨ Credentialing Specialist Credentialing Specialist 🕒 Yesterday Vituity 1001 - 5000 🏥 Healthcare 🤝 B2B Website LinkedIn All Job Openings Credentialing Specialist ensuring accurate and timely credentialing for physicians and advanced providers. Coordinating documentation and compliance in transforming healthcare. 🇺🇸 United States – Remote ⏰ Full Time 🟡 Mid-level 🟠 Senior ✨ Credentialing Specialist Credentialing Specialist 🕒 Yesterday One GI® 1001 - 5000 🏥 Healthcare 🤝 B2B 💼 Consulting Website LinkedIn All Job Openings Credentialing Specialist reviewing and processing provider credentialing applications at One GI®. Ensuring compliance and supporting patient care through accurate credentialing. 🇺🇸 United States – Remote ⏰ Full Time 🟢 Junior 🟡 Mid-level ✨ Credentialing Specialist 🚫👨🎓 No degree required Credentialing Specialist 🕒 Yesterday Workit Health 201 - 500 🏥 Healthcare 👥 B2C Website LinkedIn All Job Openings Credentialing Specialist managing provider credentialing and maintaining clinic licensure for Workit Health. Ensuring accurate data and compliance with policies for an evidence-based telemedicine provider. 🇺🇸 United States – Remote 💵 $22 / hour 💰 $262.3k Grant - Workit Health on 2025-01 ⏰ Full Time 🟢 Junior 🟡 Mid-level ✨ Credentialing Specialist 🚫👨🎓 No degree required Credentialing and Enrollments Specialist 🕒 2 days ago MODENA 10,000+ employees 🏥 Healthcare 👥 B2C Website LinkedIn All Job Openings Credentialing Specialist managing the credentialing, payer enrollment, and onboarding processes for physicians and advanced practice providers in allergy and asthma care. Supporting billing and patient care operations in a fast-paced healthcare environment. 🇺🇸 United States – Remote ⏰ Full Time 🟢 Junior 🟡 Mid-level ✨ Credentialing Specialist 🚫👨🎓 No degree required 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates Is Remote Rocketship legit? Privacy policy Terms of service Job board SEO course Remote Job Search MasterClass AI Apply Copilot OpenClaw job finder Find jobs using your resume Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs