Remote Credentialing Specialist - HIPAA & Privileges

Talentify; West Palm Beach (FL); Remote; USD 55,000 - 60,000; Full time

Benefits offered by this job

Health, Vision and Dental

Paid holiday and PTO

FSA

Job summary

Pelvic Rehabilitation Medicine, a remote-friendly organization in the US, seeks a Credentialing Specialist to review and process provider applications, ensure HIPAA compliance, and manage re-credentialing for physicians and CRNAs. The role emphasizes accuracy, responsiveness, and collaboration across departments.

Candidates should have 2+ years in credentialing, familiarity with enrollment software, and strong communication skills.

Qualifications

• 2+ years' experience in provider credentialing.
• Experience with credentialing/enrollment software.
• Proficient in Microsoft Office Suite.
• Highly effective communicator with the ability to engage multiple stakeholders in various organizations.
• Must be able to work well under pressure in a very fast-paced, high-volume environment.
• Possess strong problem solving, critical thinking and analytical skills.

Responsibilities

• Reviews and processes applications for provider privileges
• Focuses on follow-up, follow through and achievement of stringent deadlines
• Reviews and analyzes provider credentialing file for completeness, accuracy, issues, and changes
• Responds to provider inquiries received by letter, phone, or internal departments
• Administers re-credentialing of Physicians and CRNAs
• Complies with HIPAA regulations
• Assists with other special projects and process redesign initiatives as requested

Skills

Credentialing experience

Communication

Analytical thinking

Problem solving

Under pressure

Education

High School Diploma

Bachelor's degree preferred

Tools

Microsoft Office

Job description

Pelvic Rehabilitation Medicine, a remote-friendly organization in the US, seeks a Credentialing Specialist to review and process provider applications, ensure HIPAA compliance, and manage re-credentialing for physicians and CRNAs. The role emphasizes accuracy, responsiveness, and collaboration across departments.

Candidates should have 2+ years in credentialing, familiarity with enrollment software, and strong communication skills.