Hybrid Credentialing Operations Specialist

Paradigm; Tampa (FL); Hybrid; USD 42,000 - 64,000; Full time

Benefits offered by this job

Health and wellness benefits

401(k) matching contributions

Paid time off

Job summary

Paradigm is seeking a full-time Credentialing Operations Specialist for a hybrid work arrangement. You will handle credentialing and re-credentialing processes for practitioners, verify information from multiple sources, and ensure regulatory compliance.

Responsibilities include maintaining licenses, preparing practitioner profiles, and coordinating with QAIR, Member Services, and Risk Management to support credentialing decisions and peer reviews.

Qualifications

• Excellent communication and phone skills; patient and provider-focused.
• Strong organizational skills with the ability to multitask independently.
• Proficiency with Microsoft Office; familiarity with credentialing software.
• Knowledge of medical terminology is preferred.

Responsibilities

• Completes credentialing and re-credentialing applications for internal and affiliated practitioners.
• Tracks verification responses and follows up with sources as needed.
• Maintains current licenses, DEA certificates, and malpractice certificates for practitioners.
• Maintains credentialing files and prepares practitioner profiles for committee reviews.
• Utilizes AI tools to support day-to-day tasks and improve output quality.

Skills

Communication

Organizational skills

Multi-tasking

MS Office

Education

Bachelor's degree in health care

Tools

MS Office

Job description

Paradigm is seeking a full-time Credentialing Operations Specialist for a hybrid work arrangement. You will handle credentialing and re-credentialing processes for practitioners, verify information from multiple sources, and ensure regulatory compliance.

Responsibilities include maintaining licenses, preparing practitioner profiles, and coordinating with QAIR, Member Services, and Risk Management to support credentialing decisions and peer reviews.