Credentialing Specialist — Physician-Led Care with Benefits

Pc Cfl; Orlando (FL); On-site; USD 42,000 - 66,000; Full time

Benefits offered by this job

Competitive compensation

Medical, dental and vision insurance

Life insurance

PTO

Holiday pay

Bonus structure

401K with company match

Job summary

Home Physicians Group seeks a Credentialing Specialist to join our growing team in Central Florida. You will coordinate provider credentialing, recredentialing, and payer enrollment to ensure regulatory and organizational requirements are met.

This role supports onboarding, maintains credentialing files, and monitors expirations with a focus on accuracy. A strong background in credentialing or healthcare administration is required, with familiarity in CAQH and PECOS preferred.

Qualifications

• Minimum 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 preferred.
• Associate degree or higher preferred for further expertise.

Responsibilities

• Coordinate initial credentialing and recredentialing for physicians and advanced practice providers.
• Complete and maintain provider enrollment with Medicare, Medicaid, and commercial insurance plans.
• Monitor credential expiration dates, licenses, certifications, and malpractice coverage.
• Maintain accurate provider files and credentialing databases.
• Communicate with providers, payers, hospitals, facilities, and regulatory agencies regarding credentialing status.
• Ensure compliance with federal, state, payer, and organizational requirements.
• Assist with onboarding new providers and maintaining provider records.
• Support audits and accreditation activities as needed.

Skills

Organizational skills

Time management

Communication skills

MS Office

Confidentiality

Critical thinking

Teamwork / independence

Education

High school diploma or GED

Associate's or Bachelor's degree preferred

Tools

CAQH

PECOS

Job description

Home Physicians Group seeks a Credentialing Specialist to join our growing team in Central Florida. You will coordinate provider credentialing, recredentialing, and payer enrollment to ensure regulatory and organizational requirements are met.

This role supports onboarding, maintains credentialing files, and monitors expirations with a focus on accuracy. A strong background in credentialing or healthcare administration is required, with familiarity in CAQH and PECOS preferred.