Credentialing Specialist
On-siteOrlando, Florida, United States
Job Summary
Coordinate initial credentialing and recredentialing for physicians and advanced practice providers while completing and maintaining enrollment with Medicare, Medicaid, and commercial insurance plans. Monitor expiration dates for licenses, certifications, and malpractice coverage, ensuring compliance with federal, state, payer, and organizational requirements. Maintain accurate provider files and databases, communicate status updates to providers and agencies, and support audits and accreditation activities. Assist with onboarding new providers and managing records for our geriatric population serving 14 counties across Central Florida.
Required Qualifications
- High school diploma or GED
Desired Qualifications
- Associate's or Bachelor's degree
- Minimum of 2 years of credentialing or healthcare administration experience
- Experience with provider credentialing, payer enrollment, or medical staff services
- Knowledge of CAQH, PECOS, and insurance payer portals
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