Credentialing Specialist – Full Time, Day Shift

Jobtailor; Miami (FL); On-site; USD 50,000 - 75,000; Full time

Job summary

Jobtailor is seeking a Credentialing Specialist to coordinate credentialing and recredentialing for NCPS clinicians across internal and external affiliations, ensuring timely submissions and accurate records.

You will communicate with providers, hospitals, Medical Staff Offices, credentialing bodies, and other stakeholders; maintain provider records, licenses, and certifications; monitor expiring credentials and timely renewals; and support onboarding through intake, milestone tracking, and

Qualifications

• 1–3 years of healthcare credentialing, provider onboarding, medical staff services, or related healthcare operations experience.
• Bachelor's degree in Health Administration, Business, or related field preferred.
• NAMSS Certification preferred.
• Experience in provider credentialing software, such as Cactus or Parallon, preferred.
• Highly organized in managing schedules, duties, workflows, and responsibilities.
• Ability to organize and prioritize work effectively.
• Willingness to take direction and apply learning.
• Strong verbal and written communication skills.
• Strong attention to detail.
• Exceptional customer service skills.
• Ability to communicate diplomatically within a multifunctional team.
• Ability to work in a fast-paced environment and meet multiple deadlines.
• Excellent problem-solving ability.
• Ability to communicate complex technology concepts to diverse audiences.
• Strong ability to learn new software and processes.
• Continual process improvement mindset.

Responsibilities

• Coordinate and manage credentialing and recredentialing processes for NCPS clinicians across internal and external affiliations.
• Communicate with providers, hospitals, Medical Staff Offices, credentialing bodies, and other stakeholders.
• Obtain, prepopulate, review, verify, submit, and track credentialing applications and supporting documentation.
• Support provider onboarding through intake, document collection, milestone tracking, orientation readiness, and start-date preparedness.
• Maintain accurate provider records, credentialing files, licenses, certifications, education, training, and professional references in electronic databases and other systems.
• Monitor expiring credentials and privileges, notify providers, and follow up on timely renewals.
• Process credentialing fees as applicable.
• Resolve credentialing issues and discrepancies with providers and hospitals.
• Complete credentialing tasks within timelines and proactively communicate progress and issues.
• Provide regular updates to leadership and maintain high-quality, accurate outputs.
• Develop and maintain relationships with providers, affiliate organizations, Medical Staff Offices, hospitals, and regulatory bodies.
• Provide support, guidance, training, and answers to questions about credentialing and privileging.
• Participate in quality improvement activities, analyze data, identify improvements, and implement process improvements.
• Ensure NCPS providers are credentialed, recredentialed, and, where applicable, privileged at all locations where services are rendered.
• Partner with practice leadership, operations, TM&E, Medical Staff Offices, and affiliate contacts to resolve onboarding and credentialing readiness issues.
• Support MSO and telehealth credentialing readiness activities; payer enrollment functions are excluded unless specifically assigned.

Skills

Healthcare credentialing

Provider onboarding

Documentation management

Data analysis

Quality improvement

Education

Bachelor's degree in Health Administration, Business, or related field

NAMSS Certification

Tools

Cactus

Parallon

Job description

• Coordinate and manage credentialing and recredentialing processes for new and existing NCPS clinicians across internal and external affiliations


• Communicate with providers, hospitals, Medical Staff Offices, credentialing bodies, and other stakeholders


• Obtain, prepopulate, review, verify, submit, and track credentialing applications and supporting documentation


• Support provider onboarding through intake, document collection, milestone tracking, orientation readiness, and start-date preparedness


• Maintain accurate provider records, credentialing files, licenses, certifications, education, training, and professional references in electronic databases and other systems


• Monitor expiring credentials and privileges, notify providers, and follow up on timely renewals


• Process credentialing fees as applicable


• Resolve credentialing issues and discrepancies with providers and hospitals


• Complete credentialing tasks within timelines and proactively communicate progress and issues


• Provide regular updates to leadership and maintain high-quality, accurate outputs


• Develop and maintain relationships with providers, affiliate organizations, Medical Staff Offices, hospitals, and regulatory bodies


• Provide support, guidance, training, and answers to questions about credentialing and privileging


• Participate in quality improvement activities, analyze data, identify improvements, and implement process improvements


• Ensure NCPS providers are credentialed, recredentialed, and, where applicable, privileged at all locations where services are rendered


• Partner with practice leadership, operations, TM&\E, Medical Staff Offices, and affiliate contacts to resolve onboarding and credentialing readiness issues


• Support MSO and telehealth credentialing readiness activities; payer enrollment functions are excluded unless specifically assigned

Requirements

• 1–3 years of healthcare credentialing, provider onboarding, medical staff services, or related healthcare operations experience


• Bachelor's degree in Health Administration, Business, or related field preferred


• NAMSS Certification preferred


• Experience in provider credentialing software, such as Cactus or Parallon, preferred


• Highly organized in managing schedules, duties, workflows, and responsibilities


• Ability to organize and prioritize work effectively


• Willingness to take direction and apply learning


• Strong verbal and written communication skills


• Strong attention to detail


• Exceptional customer service skills


• Ability to communicate diplomatically within a multifunctional team


• Ability to work in a fast-paced environment and meet multiple deadlines


• Excellent problem-solving ability


• Ability to communicate complex technology concepts to diverse audiences


• Strong ability to learn new software and processes


• Continual process improvement mindset

Core Competencies

Demonstrates expertise in healthcare credentialing processes, provider onboarding, and maintaining accurate provider records. Proficient in managing relationships with stakeholders and ensuring compliance with credentialing standards.

Highest-signal resume keywords

• Healthcare Credentialing


• Provider Onboarding


• NAMSS Certification


• Credentialing Software Experience


• Attention to Detail

ATS Optimization Keywords

Hard Skills

• Credentialing Processes


• Document Collection


• Data Analysis


• Quality Improvement


• Milestone Tracking

Soft Skills

• Strong Verbal Communication


• Strong Written Communication


• Customer Service Skills


• Organizational Skills


• Problem-Solving Ability

Certifications & Qualifications

• NAMSS Certification

Industry Keywords

• Healthcare Operations


• Medical Staff Services


• Credentialing Bodies


• Regulatory Bodies


• Provider Records

Tools & Technologies

• Cactus


• Parallon