Provider Credentialing Specialist

Healthcare Providers Care; Saint Petersburg (FL); Presencial; USD 50.000 - 65.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Training and supportive team

Growth into senior and team lead roles

Descripción de la vacante

Healthcare Providers Care is seeking a Credentialing Specialist to manage provider enrollment with US insurance payers from start to finish. You will collect and verify provider documents, manage CAQH ProView profiles, and submit applications for Medicare, Medicaid, and commercial payers.

You will also track re-attestation and re-credentialing timelines. The role emphasizes strong organization, attention to detail, and clear English communication within a supportive team.

Formación

• 1+ year of US provider credentialing experience.
• Knowledge of CAQH, NPPES, PECOS and payer enrollment portals.
• Strong organization and follow-up skills.
• Clear spoken and written English.

Responsabilidades

• Collect and check provider documents and practice information.
• Create, update and attest CAQH ProView profiles.
• Prepare and submit Medicare (PECOS), Medicaid and commercial payer applications.
• Follow up with payers until enrollment and contracts are complete.
• Track re-attestation, revalidation and re-credentialing dates.

Conocimientos

Organization

Follow-up

English proficiency

Herramientas

CAQH

NPPES

PECOS

Descripción del empleo

About the role

Our Credentialing Specialist manages provider enrollment with US insurance payers from start to finish.

What you will do

• Collect and check provider documents and practice information
• Create, update and attest CAQH ProView profiles
• Prepare and submit Medicare (PECOS), Medicaid and commercial payer applications
• Follow up with payers until enrollment and contracts are complete
• Track re-attestation, revalidation and re-credentialing dates

What we are looking for

• 1+ year of US provider credentialing experience
• Knowledge of CAQH, NPPES, PECOS and payer enrollment portals
• Strong organization and follow-up skills
• Clear spoken and written English

What we offer

• Training and a supportive team
• Growth into senior and team lead roles