Credentialing Specialist

This is a fully remote position, open to applicants in Florida.

📋 Description

• Evaluates and processes applications for provider privileges.

• Emphasizes follow-up, consistency, and meeting strict deadlines.

• Reviews and assesses provider credentialing files for completeness, accuracy, issues, and modifications.

• Addresses provider inquiries received through letters, phone calls, or internal departments.

• Manages the re-credentialing process for Physicians and CRNAs.

• Adheres to HIPAA regulations.

• Supports additional special projects and process redesign initiatives as needed.

⛳️ Requirements

• High School Diploma is mandatory; Bachelor's Degree is preferred.

• At least 2 years of experience in provider credentialing is required.

• Prior experience with provider credentialing/enrollment software is essential.

• Proficient in the Microsoft Office suite.

• Strong communicator capable of engaging with various stakeholders across different organizations.

• Must be adept at working under pressure in a dynamic, high-volume setting.

• Strong problem-solving, critical thinking, and analytical skills are necessary.

🏝️ Benefits

• Health, Vision, and Dental insurance.

• Paid holidays and paid time off (PTO).

• Flexible Spending Account (FSA).

• High-income potential.