Your MedicalVirtual assistant manages payer enrollment, CAQH attestations, revalidations and re-credentialing as one tracked pipeline, instead of leaving it to whoever has a free afternoon. New providers start billing sooner and nobody discovers a lapsed panel from a denial.
Ready for your practice
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 ProfileThe role, explained
A remote credentialing specialist supports provider enrollment and credentialing administration by collecting documents, maintaining application information and following up with payers.
Best suited to: Practices adding providers, entering payer networks or managing recurring recredentialing and document renewals.
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.
Your practice needs clear answers about privacy, responsibility and insurance. MedicalVirtual maintains five business insurance policies alongside our HIPAA training, security procedures and Business Associate Agreements.
Ask for our certificate of insurance and BAA before your assistant starts.
Request our certificate & BAA →$2 million
Aggregate policy limit
$2 million
Aggregate policy limit
$2 million
Aggregate policy limit
$1 million
Aggregate policy limit
Coverage maintained
Certificate and policy limits available on request
Coverage is subject to policy terms, conditions, exclusions and applicable limits.
From task to handoff
Start with a defined queue, an approved process and a named reviewer. These examples help you decide what to delegate and what a completed task should contain.
| Workstream | Remote support | Expected handoff |
|---|---|---|
| Provider file preparation | Collect required license, education, insurance and practice information from authorized sources. | A completeness checklist and a list of missing documents. |
| Application tracking | Prepare application information and track submissions under your authorization. | A payer-by-provider tracker with submission dates and references. |
| Renewal follow-up | Monitor requests, expiring documents and recredentialing dates. | A renewal calendar and escalation list for the practice. |
Where responsibility stays: Payers and credentialing bodies make approval decisions. Provider attestations and signatures must be completed by the authorized individual; staffing cannot guarantee network acceptance.
Plan your budget
MedicalVirtual staffing starts at $10 per hour. The agreed rate depends on the role, experience and schedule. Direct hire and built-team engagements are quoted separately.
| Hours budgeted per week | Weekly at $10/hour | Average month at $10/hour |
|---|---|---|
| 20 hours | $200 | About $867 |
| 40 hours | $400 | About $1,733 |
Illustrative calculations, not package quotes: hourly rate × weekly hours × 52 ÷ 12. Actual invoices follow your agreed rate, billable hours and contract. Availability and minimum schedules are confirmed when quoted. Include any additional software seats or practice-side costs in your budget.
See staffing, direct hire and team pricing →Your approved enrollment portals, CAQH workflow where applicable, provider document store and payer tracking system. Define delegated-access permissions before work begins.
Use individual accounts and permissions appropriate to the work. Your practice approves access, provides its procedures and names the person who handles exceptions.
Track complete applications, missing-document age, follow-up timeliness and renewal deadlines. Separate administrative processing from payer decision time.
Agree the definitions and review a sample of completed work during onboarding. Set targets from your own baseline; results depend on workload, staffing and practice processes.
Ready for the first working day
Matching and onboarding time depend on the specialty, candidate availability and your access setup. Agree a realistic start date after the role is scoped.
HIPAA training alone does not establish compliance. Contracts, administrative procedures and technical safeguards must work together. Read the HHS guidance on business associates and HIPAA Security Rule safeguards.
Discuss your practice’s workload →
