Provider Credentialing & Enrollment Specialist

HOME PHYSICIANS GROUP; Orlando (FL); On-site; USD 52,000 - 64,000; Full time

Job summary

Home Physicians Group seeks a Credentialing Specialist to coordinate all aspects of provider credentialing, recredentialing, and payer enrollment in a fast-paced healthcare setting. The role includes maintaining credentialing databases and ensuring regulatory compliance.

Ideal candidates will have at least 2 years of credentialing or healthcare administration experience, with a high school diploma or GED; Associate's or Bachelor's degree preferred. Orlando area advantage, on-site position.

Qualifications

• High school diploma or GED required; Associate's or Bachelor's degree preferred.
• Minimum of 2 years of credentialing or healthcare administration experience preferred.
• Experience with provider credentialing, payer enrollment, or medical staff services.

Responsibilities

• Coordinate initial credentialing and recredentialing for physicians and advanced practice providers.
• Complete and maintain provider enrollment with Medicare, Medicaid, and commercial insurance plans.
• 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.

Skills

Credentialing

Payer enrollment

Healthcare administration

Data management

Education

High school diploma or GED

Associate's degree

Bachelor's degree

Job description

Home Physicians Group seeks a Credentialing Specialist to coordinate all aspects of provider credentialing, recredentialing, and payer enrollment in a fast-paced healthcare setting. The role includes maintaining credentialing databases and ensuring regulatory compliance.

Ideal candidates will have at least 2 years of credentialing or healthcare administration experience, with a high school diploma or GED; Associate's or Bachelor's degree preferred. Orlando area advantage, on-site position.