Credentialing Specialist

Nova Medical Services; Miami (FL); On-site; USD 24,796 - 34,440; Full time

Benefits offered by this job

Medical insurance

Dental & Vision

Aflac

Retirement plan

PTO

Professional development

Job summary

Nova Medical Services in Kendall, FL is seeking a Credentialing Specialist to manage provider credentialing and recredentialing with a focus on accuracy and compliance. The role requires experience in healthcare credentialing and bilingual English/Spanish communication.

You will coordinate with insurers and providers, maintain electronic records, monitor expirations, and ensure timely renewals in a fast-paced office setting.

Qualifications

• 2–4 years of credentialing experience in healthcare setting.
• Bilingual in English and Spanish, written and verbal.
• Knowledge of provider credentialing, enrollment, and payer requirements.
• Strong attention to detail and organizational skills.
• Proficient with Microsoft Office and credentialing software.
• Excellent time management and ability to handle multiple priorities.
• Strong communication and interpersonal skills.

Responsibilities

• Process credentialing and recredentialing applications accurately and efficiently.
• Verify provider qualifications, licenses, certifications, malpractice coverage, and other required documentation.
• Maintain compliance with federal, state, payer, and accreditation guidelines.
• Coordinate with insurance carriers and providers regarding credentialing status.
• Maintain electronic credentialing records and ensure documentation is current.
• Monitor credential expiration dates and proactively manage renewals.
• Research and resolve credentialing discrepancies in a timely manner.
• Communicate regularly with providers and internal departments regarding credentialing updates.
• Prioritize multiple projects while meeting strict deadlines.

Skills

Bilingual English & Spanish

Attention to detail

Time management

Communication skills

Organizational skills

Tools

Microsoft Office

Credentialing software

Job description

Join Our Growing Healthcare Team!

Nova Medical Services is seeking an experienced and detail-oriented Credentialing Specialist to join our team in our Kendall office. If you have a passion for healthcare administration, thrive in a fast-paced environment, and have extensive experience managing provider credentialing, we'd love to hear from you!

Position Summary

The Credentialing Specialist will be responsible for managing the credentialing and recredentialing process for healthcare providers while ensuring compliance with federal, state, payer, and accreditation requirements. The ideal candidate is highly organized, bilingual in English and Spanish, and has a strong understanding of healthcare insurance plans and credentialing procedures.

Key Responsibilities

• Process provider credentialing and recredentialing applications accurately and efficiently.
• Verify provider qualifications, licenses, certifications, malpractice coverage, and other required documentation.
• Maintain compliance with federal, state, payer, and accreditation guidelines.
• Coordinate with insurance carriers, healthcare organizations, and providers regarding credentialing status.
• Maintain accurate electronic credentialing records and ensure documentation is current.
• Monitor credential expiration dates and proactively manage renewals.
• Research and resolve credentialing discrepancies in a timely manner.
• Communicate regularly with providers and internal departments regarding credentialing updates.
• Prioritize multiple projects while meeting strict deadlines.

Qualifications

• 2–4 years of credentialing experience in a medical or healthcare setting required.
• Bilingual in English and Spanish (written and verbal).
• Strong knowledge of provider credentialing, enrollment, healthcare insurance plans, and payer requirements.
• Exceptional attention to detail and organizational skills.
• Excellent time management and ability to manage multiple priorities.
• Proficient in Microsoft Office (Word, Excel, Outlook) and credentialing software.
• Strong communication and interpersonal skills.

Preferred Qualifications

• Knowledge of medical terminology and healthcare regulations.

Compensation & Benefits

• Starting Pay: $18-25.00 per hour depending on experience!
• Comprehensive benefits package, including:
  • Medical insurance
  • Dental & Vision
  • Aflac
  • Retirement plan options
  • Paid Time Off (PTO)
  • Professional development opportunities

Why Join Nova Medical Services?

At Nova Medical Services, we are committed to delivering exceptional patient care by supporting our providers with efficient and compliant credentialing processes. We value teamwork, accountability, professional growth, and creating a positive workplace culture.

This description indicates, in general terms, the type and level of work performed and responsibilities held by the team member(s). Duties described are not to be interpreted as being all-inclusive or specific to any individual team member.

Our company is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. DFWP

Opportunities posted here do not create any implied or express employment contract between you and our company / our clients and can be changed at our discretion and / or the discretion of our clients. Any and all information may change without notice. We reserve the right to solely determine applicant suitability. By your submission you agree to all terms herein.