Healthcare Credentialing Specialist

Job Title: Healthcare Credentialing Specialist

Position Type: Full-time

Working Hours:

Monday to Friday: 12:00 PM–6:00 PM Pacific Daylight Time

Saturday and Sunday: 8:00 AM–10:00 AM and 2:00 PM–5:00 PM

Salary rate: $5-$6

 Job Responsibilities:

• Manually verify physician licenses using official state medical board and government regulatory websites.
• Access national license index databases and relevant authority databases to cross-reference physician information.
• Confirm that each physician’s license is active, valid, unrestricted, and appropriate for the state in which they intend to practice.
• Verify whether physicians are authorized to prescribe in the states they claim to serve.
• Review physician information submitted during onboarding and identify discrepancies, restrictions, disciplinary actions, expirations, or missing details.
• Document verification results accurately within the company’s digital prescribing platform.
• Provide physicians and internal teams with verification feedback within one hour during designated business hours.
• Escalate questionable, incomplete, or potentially invalid credentials to the appropriate compliance team.
• Maintain accurate records and audit trails of all verification activities.
• Protect physician and organizational information in accordance with HIPAA and company confidentiality requirements.
• Work independently and communicate effectively in an asynchronous remote environment.

Job Title: Healthcare Credentialing Specialist Position Type: Full-timeWorking Hours:Monday to Friday: 12:00 PM–6:00 PM Pacific Daylight TimeSaturday and Sunday: 8:00 AM–10:00 AM and 2:00 PM–5:00 PMSalary rate: $5-$6 Job Responsibilities:Manua...

• At least one year of experience in medical credentialing, provider enrollment, physician licensing, healthcare compliance, or a related healthcare administrative role.
• Experience researching and verifying information through state medical boards, government websites, or regulatory databases.
• Familiarity with physician license status, expiration dates, restrictions, disciplinary actions, and prescribing eligibility.
• Strong understanding of HIPAA, patient confidentiality, and secure handling of sensitive information.
• Excellent attention to detail and ability to identify inconsistencies across multiple sources.
• Strong written English communication skills.
• Ability to meet a one-hour turnaround time during working hours.
• Reliable computer, stable internet connection, and ability to access U.S. government and state regulatory websites.
• Comfortable using VPN or other approved secure-access tools when required.
• Ability to work independently with minimal supervision while maintaining high productivity and accuracy.

Basic Requirements

• Must speak and write English clearly and professionally.
• Must have relevant work experience.
• Must be able to provide an NBI Clearance and/or Local Police Clearance before onboarding (mandatory).
• Must be available to attend video meetings with camera on when required.

Technical Requirements

• Computer: Reliable laptop or desktop computer.
• Internet: Stable high-speed internet connection (minimum 25 Mbps).
• Audio: Noise-canceling headset.
• Video: Working webcam for virtual meetings.
• Workspace: Quiet and professional work environment.