Physician Credentialing Specialist

Salud Revenue Partners (Salud) is a technology-enabled service company with leadership and a high-performance culture that partners with healthcare providers nationwide to improve their revenue cycle performance.

What do our staff say about Salud? In May 2025 we were certified a Great Place to Work (for the 3rd year in a row), below are a few of our survey results:

• 97% of our employees say this is a great place to work!
• 97% of our staff say, "When you join the company, you are made to feel welcome."
• 97% of our employees say, "When I look at what we accomplish, I feel a sense of pride."
• 99% of our employees say, "People are encouraged to balance their work life and their personal life."

We are seeking an experienced Physician Credentialing Specialist to manage the end-to-end credentialing and recredentialing process for medical providers with commercial, government, and managed care payers. This role ensures timely enrollment, compliance with regulatory standards, and accurate provider data maintenance to support uninterrupted patient care and reimbursement.

• Manage initial credentialing and recredentialing of physicians and mid-level providers (NPs, PAs) with commercial payers, Medicare, Medicaid, and managed care organizations
• Complete and submit payer enrollment applications (CAQH, PECOS, state Medicaid portals, and payer‑specific forms)
• Maintain and update provider information in credentialing databases and internal systems
• Monitor application status, follow up with payers, and resolve delays or discrepancies
• Ensure compliance with payer requirements, NCQA, CMS, and state regulations
• Coordinate with providers to obtain required documentation (licenses, DEA, malpractice, board certification, CVs)
• Track credentialing timelines and proactively address expirations and reappointments
• Collaborate with billing, contracting, and operations teams to ensure accurate provider enrollment
• Prepare reports on credentialing status, turnaround times, and payer outcomes

• High school diploma or equivalent required; associate’s or bachelor’s degree preferred
• 2+ years of physician credentialing and payer enrollment experience in a medical setting
• Strong knowledge of Medicare, Medicaid, and commercial payer credentialing processes
• Experience with CAQH, PECOS, and payer portals
• Familiarity with NCQA, CMS, and state regulatory standards
• Excellent organizational, time management, and follow–up skills
• High attention to detail and ability to manage multiple deadlines
• Strong written and verbal communication skills

• Certified Provider Credentialing Specialist (CPCS) or CPMSM certification
• Experience working in multi‑specialty or large medical group environments

This position has no supervisor responsibilities.

This job operates in a professional cubicle or home office environment where standard office equipment such as computer, phones, photocopiers, filing cabinets and fax machines are utilized. The noise level in the work environment is usually minimal.

While performing the duties of this job, the individual is regularly required to stand, bend, kneel, sit, walk, and use hands to touch, type, handle, or feel objects; reach with hands and arms; talk and hear. The vision requirements include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus. Individual may occasionally lift and/or move up to 10 pounds.

This is a part‑time remote position.

Travel when necessary for client work or training is expected for this position.

Salud provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.