Credentialing Specialist - Remote

Blue Cloud Pediatric Surgery Centers; Tallahassee (FL); Remote; USD 42,000 - 64,000; Full time

Benefits offered by this job

Health insurance

401(k) Plan

Paid time off

Fully remote schedule

Job summary

Blue Cloud Pediatric Surgery Centers (trading as Blue Cloud) is hiring a Credentialing Specialist for a remote full-time position. You will coordinate initial and renewal credentialing, verify provider documentation, and ensure compliance with regulatory standards across our pediatric ASC network.

The role emphasizes high attention to detail, excellent communication, and the ability to work independently in a fast-paced team environment, supporting quality patient care and operational excellence.

Qualifications

• Strong attention to detail and accuracy in credentialing
• Excellent organizational and time-management abilities
• Excellent written and verbal communication skills
• Ability to work independently and maintain confidentiality
• Experience with credentialing processes or healthcare administration preferred
• Knowledge of licensing and credentialing requirements preferred

Responsibilities

• Coordinate initial credentialing and re-credentialing for providers
• Collect, review, and verify required provider documentation
• Conduct primary and secondary source verifications
• Identify discrepancies and follow up to resolve issues
• Monitor licenses, certifications, and expiring documents
• Maintain provider and facility records in credentialing systems
• Assist providers with licensing and credentialing inquiries
• Ensure compliance with regulations and policies
• Maintain organized electronic files
• Provide timely follow-up on outstanding items and renewals

Skills

Attention to detail

Organizational skills

Communication skills

Independent work

Confidentiality

Education

High school diploma or GED

Tools

Microsoft Word

Microsoft Excel

Job description

As our network of Ambulatory Surgery Centers (ASCs) continues to grow, we are seeking a dedicated and experienced Credentialing Specialist to join our talented and passionate care team.

NOW HIRING

Credentialing Specialist – Remote FT

ABOUT US

Blue Cloud is the nation’s largest pediatric Ambulatory Surgery Center (ASC) company, specializing in dental restorative and exodontia procedures for pediatric and special needs patients under general anesthesia. As a mission-driven organization, we are committed to providing safe, high-quality, and accessible care while helping reduce costs for families and payors.

Blue Cloud’s ASC-based model offers an exceptional working environment supported by a close-knit surgical team of Dentists, Anesthesiologists, Registered Nurses, Dental Assistants, and other dedicated healthcare professionals. We would welcome the opportunity to discuss these positions in greater detail and explore how Blue Cloud can become a meaningful part of the important work you do.

OUR VISION & VALUES

At Blue Cloud, our vision is to be the leader in safety and quality for pediatric dental patients receiving care in a surgery center environment. Our core values guide the decisions of our talented team every day, shaping how we care for our patients, support their families, and work together toward achieving that vision.

• We cheerfully work hard.
• We are individually empathetic.
• We keep our commitments.

ABOUT YOU

You demonstrate a strong work ethic, a positive attitude, and a genuine commitment to delivering exceptional patient care. You thrive in a fast-paced, team-oriented environment and are dedicated to supporting a culture of collaboration, professionalism, and excellence. You value working alongside others to ensure every patient receives the highest quality care and service throughout their experience with the Surgery Center.

ESSENTIAL FUNCTIONS

The Credentialing Specialist is responsible for coordinating and managing the credentialing and re-credentialing process for healthcare providers within Blue Cloud Pediatric Surgery Centers. This role ensures providers meet all regulatory, accreditation, and organizational requirements while maintaining accurate and current credentialing records. The position works closely with providers, leadership, and internal departments to support compliance and operational excellence.

Reasonable accommodation may be provided to enable individuals with disabilities to perform the essential functions of the position.

• Coordinate initial credentialing and re-credentialing for new and existing providers
• Collect, review, and verify required provider documentation
• Conduct primary and secondary source verifications
• Identify discrepancies and follow up to resolve issues
• Monitor and track provider licenses, certifications, and expiring documents
• Maintain provider and facility records within credentialing software systems
• Assist providers with licensing and credentialing inquiries
• Ensure compliance with all applicable regulations, standards, policies, and procedures
• Maintain organized electronic provider and facility files
• Provide timely follow-up on outstanding credentialing items and renewal requirements

COMPETENCY

• Knowledge of credentialing and privileging processes
• Strong organizational and time management skills
• Ability to prioritize and manage multiple tasks
• Exceptional attention to detail and accuracy
• Strong problem-solving skills
• Excellent written and verbal communication skills
• Ability to work independently
• Ability to maintain confidentiality
• Proficiency in Microsoft Word and Excel
• Ability to navigate web-based systems and online resources
• Experience with credentialing software preferred
• Knowledge of accreditation standards preferred

POSITION REQUIREMENTS

• High school diploma, GED, or equivalent
• Proficiency in Microsoft Office, including Word and Excel
• Ability to navigate online resources and web-based systems
• Knowledge of medical credentialing and privileging procedures and standards

PREFERRED

• Minimum of one (1) year of credentialing or related healthcare administrative experience
• Experience with credentialing software
• Knowledge of accreditation standards

BENEFITS

• Comprehensive health insurance coverage, Flexible Spending Accounts (FSA), Health Savings Accounts (HSA), disability insurance, and a variety of voluntary benefit options.
• Competitive 401(k) retirement plan with company matching contributions.
• Generous Paid Time Off (PTO) program to support work-life balance.
• Fully remote and predictable schedule with no on-call responsibilities, no weekends, and no holiday shifts.

EQUAL EMPLOYMENT OPPORTUNITY

Blue Cloud is an equal opportunity employer. Consistent with applicable federal, state, and local laws, we provide equal employment opportunities to all qualified applicants and employees without regard to age, ancestry, citizenship, color, family or medical care leave, gender identity or expression, genetic information, immigration status, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran or military status, race, ethnicity, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable law.

Blue Cloud is committed to providing reasonable accommodations to qualified individuals with disabilities throughout the application and hiring process. Applicants who require assistance or accommodation may request support during the application process.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.