Job description
Raventra Health is a medical services company providing outsourced billing, coding, and claims processing solutions for provider groups and hospitals. As a Provider Credentialing Specialist, you will support provider clients with payer enrollment, credentialing, and recredentialing activities. You will maintain accurate provider information, track applications and renewals, and help ensure providers remain properly enrolled and eligible to participate with applicable insurance plans.
WHAT YOU WILL DO
Prepare and submit provider credentialing and payer enrollment applications
Collect, review, and maintain provider documentation, including licenses, certifications, and professional information
Verify provider credentials and ensure required documentation remains current
Track credentialing applications, approvals, expirations, and recredentialing deadlines
Follow up with insurance payers and credentialing organizations regarding application status
Maintain accurate provider records in credentialing databases and internal systems
Identify missing or inconsistent information and work with provider teams to resolve documentation issues
Support updates to provider information, including practice locations, specialties, and payer participation
Maintain organized documentation and follow established privacy and compliance procedures
WHAT WE ARE LOOKING FOR
1+ year of experience in provider credentialing, payer enrollment, medical administration, or a related healthcare role
Understanding of provider credentialing and payer enrollment processes
Experience working with insurance payers, credentialing organizations, or provider networks
Strong attention to detail and ability to manage multiple applications, deadlines, and follow-ups
Experience reviewing and maintaining professional licenses, certifications, and provider documentation
Strong organizational and time-management skills
Ability to communicate effectively with providers, payer representatives, and internal teams
Ability to work independently and effectively in a fully remote environment
HIPAA-compliant private workspace
NICE TO HAVE
Experience with CAQH and other provider credentialing or enrollment platforms
Experience with Medicare, Medicaid, or commercial payer enrollment
Knowledge of NPI, taxonomy codes, and provider enrollment requirements
Experience with hospital or multi-specialty provider credentialing
Familiarity with Epic, Athena, eClinicalWorks, or other healthcare systems
COMPENSATION AND BENEFITS
Compensation will be discussed during the interview and will reflect the candidate’s experience, qualifications, and relevant healthcare administration expertise.
Benefits and additional employment details will be discussed during the hiring process.
HIRING PROCESS
Application review → introductory conversation → hiring manager interview → offer.
EQUAL OPPORTUNITY
Raventra Health is an equal opportunity employer. We consider all qualified applicants without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic. If you need an accommodation at any stage of the hiring process, please contact us and we will work with you to provide appropriate support.
Location: Remote
Originally posted on Himalayas
Who can apply
Eligible countries: United States. Accepted UTC offsets: UTC-10, UTC-9, UTC-8, UTC-7, UTC-6, UTC-5, UTC+14. Review the full description for employer-specific work authorization, residency and schedule requirements.