Payer enrollment, CAQH attestations, revalidations and re-credentialing run as one tracked pipeline by one person, instead of falling to whoever has a free afternoon. New providers start billing sooner and nobody discovers a lapsed panel from a denial.
Verified Credentialing and Operations Specialist 3+ years of experience
Fabiola is a dedicated administrative and operations professional with over three years of experience in healthcare operations. She excels in credentialing, scheduling, records management and workflow coordination, with additional experience auditing insurance payments and ensuring compliance.
View Profile Verified Credentialing and Operations Specialist | 3+ years of experience
Fabiola is a dedicated administrative and operations professional with over three years of experience in healthcare operations. She excels in credentialing, scheduling, records management and workflow coordination, with additional experience auditing insurance payments and ensuring compliance.
Verified Medical Assistant and Coordinator | 5+ years of experience
Karina is a bilingual professional with extensive experience in medical assistance and coordination. She excels in patient scheduling, insurance verification, and medical billing. Her adaptability and attention to detail make her an asset in fast-paced environments, ensuring efficient workflows.
Verified Medical Assistant | 5+ years of experience
Jennifer is a dedicated bilingual Certified Medical Assistant with expertise in both on-site and remote clinical operations. She excels in telemedicine, EHR documentation, and insurance verification while ensuring HIPAA compliance. Jennifer is proficient in managing high-volume customer service.
Verified Medical Billing Agent | 1+ years of experience
Andrea is a dedicated Virtual Medical Assistant with four years of experience in medical billing, customer service, and data entry. She has a strong background in insurance verification, appointment scheduling, and medical records management. Andrea is proficient in handling sensitive.
Verified Bilingual Appointment Setter | 5+ years of experience
Carlos is a highly organized bilingual professional with over 5 years of experience in medical interpretation, legal case evaluation, and remote customer support. He excels in patient-provider communication, medical records management, and legal intake, ensuring confidentiality and a.
Verified Fabiola runs provider enrollment and credentialing maintenance end to end: preparing payer applications, keeping CAQH profiles attested, chasing payer representatives to approval and tracking revalidation cycles so nothing lapses.
A provider waiting on payer approval cannot bill for the patients they are already seeing. Most of that delay is not the payer's clock, it is incomplete applications, missed follow-ups and CAQH profiles nobody attested. A dedicated credentialing specialist owns the whole pipeline, so applications go in complete, follow-up happens on schedule, and revalidation dates are tracked before they become a problem.
Credentialing is usually a side task for an office manager, which means applications go out when there is time and follow-up happens when someone remembers. A dedicated specialist treats it as a pipeline with dates, owners and status, so new providers reach the panel in the payer's timeline rather than the payer's timeline plus your delays.
Medical Virtual Receptionist
Medical Virtual Receptionist
Virtual Billing & Revenue Cycle Support
Payer provider lines and portals run on US hours, and so does your specialist, a full 9 to 5 on your clock.
HIPAA training before kick-off, annual refreshers, background checks and a signed BAA.
Only people who have run CAQH and US payer enrollment reach your shortlist.
From $1,900 a month full-time, $1,200 part-time. No placement fee, and no per-application charges.
Credentialing is not one task, it is a calendar. Initial enrollment for every new provider, CAQH attestations every 120 days, revalidations on the payer's cycle and re-credentialing every two to three years. A specialist owns that calendar so nothing lapses and nothing waits for a free afternoon.
Credentialing specialists support practices of every size, from a solo provider joining their first panels to multi-site groups onboarding several providers a quarter. Experience typically spans primary care, behavioural health, physical therapy, dental and specialty practices, with the common thread being US payer enrollment and CAQH.
Credentialing specialists usually come from practice administration, revenue cycle or medical staff services backgrounds. Hands-on experience with US payer enrollment and CAQH matters far more than formal qualifications.
Candidates should name specific commercial payers, Medicare through PECOS and state Medicaid, and describe the application, follow-up and approval steps they handled personally rather than observed.
A strong answer covers the 120-day attestation cycle, document expiry tracking, keeping practice locations and taxonomy codes aligned across profiles, and how they confirm payers are actually pulling updated data.
Look for a specific escalation routine: reference numbers logged, provider representative contacts, a follow-up cadence, and a clear record of every call so the practice can see exactly where each application stands.
A short call to map your provider count, payer mix, how many providers you add a year and where your current tracker lives, if there is one.
A placement specialist matches candidates who have run CAQH and enrollment with your payers, then sends a shortlist worth reading.
You meet the candidates and make the hire yourself. We handle the in-country contract, payroll and compliance.
Your specialist starts with HIPAA training complete and a signed BAA in place, auditing every provider's CAQH and open applications in week one.
