Credentialing Specialist

OCHIN, Inc.

Credentialing Specialist managing credentialing and provider enrollment processes for OCHIN's national provider network. Supporting effective health care innovation for rural and medically underserved communities.

Posted 6/25/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $24 - $38 per hourWebsite

About the role

Key responsibilities & impact

Perform all aspects of the credentialing, privileging, and payor enrollment processes for providers under the OCHIN Collaborative or contracted third parties.
Manage credentialing applications and verify credentials.
Maintain provider files internally and externally with payor plans.
Timely processing of initial credentialing and recredentialing applications in accordance with regulatory requirements.
Reviewing and analyzing credentialing applications and supporting documents for accuracy and completeness.
Validating and verifying provider credentials through the appropriate verification sources.
Identifying discrepancies in information and conducting research and follow-up.

Requirements

What you’ll need

Minimum of three (3) years of progressive experience in Credentialing and/or Provider Enrollment, 5+ years preferred.
In-depth knowledge of credentialing, privileging and provider enrollment standards (HRSA, FTCA, TJC, NCQA, etc.) preferred.
Experience in MD-Staff preferred.
Certified Provider Credentialing Specialist (CPCS) may be required or strongly preferred.
Proficiency in credentialing software and data management systems is preferred.
Advanced Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, etc.) preferred.
Working knowledge of Smartsheet including data structure, formula creation, basic workflows and automation preferred.
Proven experience in client-facing roles, with the ability to build strong relationships and communicate effectively with diverse stakeholders preferred.
Familiarity with Jira for issue tracking and task management preferred.

Benefits

Comp & perks

Generous compensation package
Healthy work-life balance
Professional advancement opportunities
COVID-19 vaccination requirement

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

credentialingprivilegingprovider enrollmentdata managementverificationdiscrepancy identificationapplication processingdocument analysisresearch

Soft Skills

relationship buildingcommunicationclient-facing experience

Certifications

Certified Provider Credentialing Specialist (CPCS)