CCF GROUP LLC
Future Opening: Medical Credentialing Specialist
Full Time • Fully Remote - US
Benefits:
- 401(k)
- Bonus based on performance
- Company parties
- Competitive salary
- Flexible schedule
- Health insurance
- Opportunity for advancement
- Paid time off
Position Title: Medical Credentialing Specialist
Job Type: Full-Time
Compensation: 55,000-60,000 (based on experience)
**Background check will be required**
Position Overview
Fisher Health System is seeking a detail-oriented and highly organized Medical Credentialing Specialist to join our growing administrative division. This role is essential in supporting our providers and ensuring seamless operations across our expanding healthcare network. This is a remote position. Candidates must have a dedicated home workspace and are responsible for providing their own reliable computer equipment, and necessary office supplies to effectively perform job duties. The Medical Credentialing Specialist will be responsible for managing the full credentialing lifecycle, including initial credentialing, re-credentialing, payer enrollment, and provider validation with commercial and government insurance carriers. This individual will also support revenue cycle operations by assisting with medical billing tasks such as claim submission through our EMR system, claim appeals, payment posting, and aging report management. This position plays a critical role in maintaining compliance, optimizing reimbursement timelines, and ensuring providers are properly enrolled and credentialed to deliver care without interruption. To support efficient workflows, Fisher Health System utilizes integrated EMR systems and streamlined administrative processes that enhance accuracy, compliance, and communication across departments. At Fisher Health System, we are not simply hiring to fill a position, we are looking for a Medical Credentialing Specialist who values precision, accountability, and teamwork. Our organization prioritizes operational excellence and patient-centered care, ensuring that providers are fully supported so they can focus on delivering high-quality medical services.
Compensation & Benefits
Benefits Include:
-
401(k) retirement plan
- Medical, dental, and vision insurance
- Paid time off (PTO)
- Paid holidays
- Life and disability insurance
- Opportunities for professional growth within a growing healthcare organization
Practice & Administrative Model
-
Multi-specialty medical group
- EMR-based billing and claims submission
- Collaborative administrative structure
- Growing provider network
- Focus on compliance, accuracy, and timely reimbursement
Responsibilities
-
Manage initial credentialing and re-credentialing for providers with commercial and government payers
- Maintain CAQH profiles and ensure all provider documentation remains current
- Track provider license renewals, DEA registrations, board certifications, and malpractice coverage
- Submit and monitor payer enrollment applications
- Communicate with insurance carriers regarding application status and discrepancies
- Submit medical claims through EMR systems
- Review and appeal denied claims
- Work aging reports to resolve outstanding balances
- Post insurance and patient payments accurately
- Maintain credentialing databases and compliance records
- Ensure adherence to payer guidelines and regulatory standards
- Collaborate with billing, compliance, and provider teams to support revenue cycle integrity
Qualifications
Education & Experience
-
High school diploma required; Associate’s or Bachelor’s degree preferred
- Minimum 5 years of medical credentialing experience preferred
- Minimum 5 years of medical billing experience preferred
- Experience working with EMR systems
- Familiarity with CAQH, PECOS, and payer portals preferred
Skills & Competencies
-
Strong attention to detail and organizational skills
- Knowledge of medical terminology and insurance processes
- Ability to manage multiple deadlines and provider files simultaneously
- Excellent written and verbal communication skills
- Proficiency in Microsoft Office and healthcare software systems
Strong problem-solving abilities and follow-through
Compensation: $55,000.00 - $60,000.00 per year
(if you already have a resume on Indeed)