Remote Credentialing Specialist – Payor Enrollment

Trustbridge; Sarasota (FL); Hybrid; USD 48,000 - 68,000; Full time

Benefits offered by this job

Competitive pay

Benefits & wellness package

PTO 5+ weeks

Tuition reimbursement & CEU support

Career advancement opportunities

Job summary

Empath Health is seeking a Credentialing Specialist to join our Credentialing team, handling credentialing, re-credentialing and privileging for medical providers across Empath Health.

This remote role requires strong organizational skills, attention to licensure and certification renewals, and collaboration with Physician Services and finance to ensure provider eligibility and payer enrollment across Florida facilities.

Qualifications

• Associate’s degree (A.A.) or equivalent from two-year college or technical school.
• Minimum two-three years of credentialing experience preferred.
• Certified Provider Credentialing Specialist (CPCS) preferred; active pursuit acceptable.
• Strong computer skills with Word, Excel, and PowerPoint proficiency.
• Excellent interpersonal, verbal and written communication skills.
• Establish and maintain effective working relationships with providers and staff.

Responsibilities

• Tracks and maintains current state licenses, DEA certificates, malpractice coverage and other credentialing documents for providers; manages expirables and primary source verifications.
• Completes payor enrollment and re-credentialing applications; maintains provider rosters in payor portals.
• Knowledge of Medicare/Medicaid portals and CAQH familiarity for providers.
• Collaborates with Physician Services to obtain and maintain hospital privileges.
• Works with finance to identify and resolve credentialing-related issues.

Skills

Computer skills

Word

Excel

PowerPoint

Communication skills

Data analysis

Relationship building

Education

Associate degree or equivalent

Tools

CAQH

Job description

Empath Health is seeking a Credentialing Specialist to join our Credentialing team, handling credentialing, re-credentialing and privileging for medical providers across Empath Health.

This remote role requires strong organizational skills, attention to licensure and certification renewals, and collaboration with Physician Services and finance to ensure provider eligibility and payer enrollment across Florida facilities.