Credentialing & Onboarding Manager (Medical Practice)

Florida Digestive Health Specialists LLP; Bradenton (FL); On-site; USD 55,000 - 78,000; Full time

Job summary

Florida Digestive Health Specialists, LLP. is seeking a full-time Credentialing Manager to join our team in Bradenton, FL. This role oversees credentialing, recredentialing, payer enrollment, and provider privileging to ensure timely on-boarding and compliant operations.

The ideal candidate has 2+ years in healthcare credentialing, CAQH/NPI experience, and strong organizational skills. This position supports hospital and facility privileging and requires collaboration with HR, operations, and IT.

Qualifications

• 2+ years of healthcare credentialing, provider enrollment, medical staff services, or payer enrollment experience.
• Knowledge of physician and APP credentialing processes.
• Experience with CAQH, NPI, Medicare, Medicaid, and commercial payer enrollment.
• Strong organizational and time-management skills.
• Excellent attention to detail and ability to manage multiple deadlines simultaneously.
• Strong written and verbal communication skills.
• Proficiency with Microsoft Office, electronic databases, and web-based payer/credentialing portals.

Responsibilities

• Manage initial credentialing and recredentialing for physicians, nurse practitioners, physician assistants, and other clinical providers.
• Prepare, submit, track, and maintain credentialing applications for hospitals, ambulatory surgery centers, health plans, and other healthcare organizations.
• Verify provider education, training, board certification, licenses, work history, malpractice coverage, references, and other required credentials.
• Maintain accurate provider credentialing files and ensure all documentation is current and readily accessible.
• Monitor credentialing applications from submission through approval and identify and resolve outstanding items.
• Communicate credentialing status, anticipated completion dates, and outstanding requirements to providers and leadership.
• Manage enrollment and revalidation with Medicare, Medicaid, and commercial insurance plans.
• Maintain provider information in payer portals and systems.
• Complete and maintain CAQH profiles and ensure required documents and attestations remain current.
• Track effective dates, participation status, recredentialing deadlines, and payer-specific requirements.
• Coordinate with billing and revenue cycle teams to resolve enrollment-related issues affecting claims or reimbursement.
• Assist with provider additions, terminations, demographic changes, group affiliations, and tax ID/NPI updates.
• Coordinate initial and renewal applications for hospital and facility privileges.
• Track privilege requirements, expirations, committee dates, and approval status.
• Maintain records of clinical privileges, affiliations, and facility-specific requirements.
• Coordinate with hospital medical staff offices and credentialing departments to obtain required documentation and resolve deficiencies.

Skills

Healthcare credentialing

CAQH enrollment

Payer enrollment

Policy compliance

Microsoft Office

Tools

CAQH

NPI

Medicare/Medicaid enrollment systems

Job description

Florida Digestive Health Specialists, LLP. is seeking a full-time Credentialing Manager to join our team in Bradenton, FL. This role oversees credentialing, recredentialing, payer enrollment, and provider privileging to ensure timely on-boarding and compliant operations.

The ideal candidate has 2+ years in healthcare credentialing, CAQH/NPI experience, and strong organizational skills. This position supports hospital and facility privileging and requires collaboration with HR, operations, and IT.