Credentialing Specialist - Healthcare / Medical

Credentialing Specialist

Location: Plantation, FL

Employment Type: Full-Time

We are seeking a detail-oriented Credentialing Specialist to support the credentialing and re-credentialing of providers participating in our hearing and vision provider networks.

Key Responsibilities

• Process provider credentialing and re-credentialing applications
• Maintain provider records and credentialing files
• Track provider credentialing documents and ensure timely processing
• Communicate with providers to obtain required documentation and updates
• Review provider applications for completeness and accuracy
• Monitor provider credentialing status and maintain accurate records
• Draft, track, and update provider credentialing approval letters
• Coordinate with credentialing verification organizations and internal teams
• Support Credentialing Committee meetings and maintain meeting records
• Generate reports related to credentialing activities and provider status
• Maintain electronic and hard-copy credentialing files in accordance with company standards

Qualifications

• Healthcare credentialing experience preferred
• Experience with provider relations, managed care, or healthcare operations
• Strong organizational and follow-up skills
• Excellent attention to detail and accuracy
• Strong communication and customer service skills
• Proficiency in Microsoft Excel and Microsoft Office applications
• Ability to manage multiple priorities in a fast-paced environment
• Ability to work independently and collaboratively

Preferred Qualifications

• Experience with provider credentialing and re-credentialing
• Knowledge of NCQA credentialing standards
• Experience working with healthcare providers and provider networks
• Managed care organization experience
• Experience in healthcare administration or provider support

If you're looking to grow your career in healthcare operations and provider credentialing, we'd love to hear from you.

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