Top 12 Credentialing specialist Jobs in Clearwater Fl

Credentialing Specialist
Clearwater Cardiovascular Consultants —Clearwater, FL
- Mid-level
- US work authorization
- Organizational skills
Quick Apply
1d
Credentialing Specialist
OnSpot Dermatology —Clearwater, FL
- $25 an hour
- Full-time
- Mid-level
- Organizational skills
- Contracts
Quick Apply
Provider Enrollment Specialist
Shriners Hospitals for Children —Tampa, FL
- $21.96 - $32.94 an hour
- Full-time
- 18 years or older
- Mid-level
- Microsoft Office
Quick Apply
7d
HSPD-12: Government Badging & Credentialing Specialist (Tampa, FL*)
Citizant Inc —Tampa, FL
- $39,000 - $44,600 a year
- Full-time
- Administrative experience
- High school diploma or GED
- Organizational skills
- Disability insurance
- Health insurance
Quick Apply
HSPD-12: Government Badging & Credentialing Specialist (Traveler: Tampa, FL*)
Citizant Inc —Tampa, FL
- $37,000 - $45,100 a year
- Full-time
- Administrative experience
- High school diploma or GED
- Travel
- Disability insurance
- Health insurance
Quick Apply
Medical Licensing Specialist (Contract)
Galileo —Tampa, FL
- $25 an hour
- Full-time
- Remote
- Mid-level
- Organizational skills
- 2 years
- Continuing education credits
Quick Apply
12d
Credentialing Specialist
Radx —Tampa, FL
- Full-time
- Spanish
- Medical office experience
- Office
- Health insurance
- Dental insurance
Quick Apply

More jobs to discover

Find similar jobs that you might be interested in.

Credentialing Specialist
Orlando Health —Saint Petersburg, FL
Associate degree in business, health care, accounting or related field may be substituted for two (2) years of experience. High school graduate or equivalent.
Credentialing Specialist
Clearwater Cardiovascular Consultants —Clearwater, FL
Coordinate credentialing requirements for new hires and newly licensed providers. CCC provides a broad spectrum of interventional, diagnostic and preventive…
Quick Apply
1d

Show more similar jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Credentialing Specialist-(Day)FT
Adena Health System —Chillicothe, OH
Must possess a valid National Association Medical Staff Services (NAMSS) Certification as a Certified Professional Medical Services Manager (CPMSM) or Certified…
13d
Provider Enrollment Specialist-Day(FT)
Adena Health System —Chillicothe, OH
Minimum Qualifications Required Educational Degree: High School Diploma or GED Major/Area of Concentration: Preferred Education: Associates Degree in Business…
7d

I want to receive the latest job alert for credentialing specialist in clearwater fl

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

credentialing specialist jobs near clearwater fl

Enrollment Specialist jobs in Tampa, FL

Licensing Specialist jobs in Tampa, FL

Billing Analyst jobs in Tampa, FL

Credentialing Specialist jobs in Tampa, FL

Credentialing Specialist jobs in Oak Brook, IL

Credentialing Specialist jobs in O'fallon, IL

Credentialing Specialist jobs in New Jersey

Child Life Specialist jobs in South Carolina

Benefit Specialist jobs in Denver, CO

Credentialing Specialist jobs in Rockledge, FL

Enrollment Specialist jobs in Honolulu, HI

Enrollment Specialist jobs in Florida

License Permit Specialist jobs in Texas

Enrollment Specialist jobs in Miami, FL

Enrollment Specialist jobs in Las Vegas, NV

Clinical Nurse Specialist jobs in Remote

Licensing Specialist jobs in Illinois

Communications Specialist jobs in Nashville, TN

Peer Support Specialist jobs in Indiana

Licensing Specialist jobs in Nashville, TN

Credentialing Specialist

Clearwater Cardiovascular Consultants -
Clearwater, FL

Quick Apply

Job Details

1 day ago

Qualifications

Document review (document control)
Google Sheets
Managed care
Provider database maintenance for medical credentialing
Provider enrollment for medical credentialing
Mid-level
Health insurance knowledge
NCQA standards
Compliance documentation
Organizational skills
Healthcare provider information
Insurance provider collaboration
Communication skills
Office record organization

Full Job Description

WHO WE ARE:

Clearwater Cardiovascular Consultants (CCC) has been providing the highest level of cardiovascular care to patients in the Tampa Bay region for over 50 years. CCC physicians and advanced practitioners represent some of the finest and most respected independent practitioners in the area. CCC provides a broad spectrum of interventional, diagnostic and preventive cardiovascular services, and offers patients comprehensive care backed by experience, expertise and technology.

Joining Clearwater Cardiovascular Consultants is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

We are seeking a dedicated Credentialing Specialist for our medical office.

Scope

In this role, you'll ensure clinicians are credentialed, enrolled, and maintained with insurance payers so they can deliver services without interruption or reimbursement delays. You'll serve as a key point of contact with insurance carriers while helping maintain compliance, accuracy, and operational efficiency.

What You'll Do

Manage provider credentialing and payer enrollment from application through approval.
Submit, track, and maintain credentialing applications, renewals, and supporting documentation.
Serve as the primary contact for insurance payers, resolving credentialing, roster, and enrollment issues.
Follow up with payers to verify application status, effective dates, and outstanding requirements.
Maintain accurate provider records across credentialing systems and payer portals.
Manage and attest provider profiles within CAQH.
Verify and maintain NPI information through NPPES.
Track credentialing deadlines, recredentialing cycles, and enrollment activity.
Coordinate credentialing requirements for new hires and newly licensed providers.
Review documentation for completeness, accuracy, and compliance.
Monitor payer policy updates and communicate changes to internal stakeholders.

What We're Looking For

Experience in provider credentialing, payer enrollment, healthcare administration, or a related healthcare support role.
Knowledge of managed care credentialing and enrollment processes.
Experience managing CAQH profiles and attestations.
Familiarity with NPPES and NPI verification.
Experience working with commercial insurance payer portals.
Strong organizational skills with exceptional attention to detail.
Ability to manage multiple priorities and deadlines in a fast-paced environment.
Excellent written and verbal communication skills.
Proficiency with Excel, Google Sheets, and tracking systems.
Behavioral health experience and familiarity with NCQA standards are preferred.

It is the Policy of CVL to ensure equal opportunity to all Team members, applicants or any other covered persons in all employment matters, including but not limited to recruitment, hiring, placement, compensation, benefits, training, promotion, transfer. CVL does not discriminate against any qualified individual because of actual or perceived race (including traits associated with race, for example, hair texture and protective hairstyles such as braids, locks, and twists), color, creed, religion, age, national origin, ancestry, citizenship status, sex or gender (including pregnancy, childbirth, related medical conditions and lactation), gender identity or gender expression (including transgender status), sexual orientation, citizenship status, work authorization status.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

Quick Apply

Refine Your Search

credentialing specialist jobs in clearwater fl

Credentialing Specialist

Credentialing Specialist

Provider Enrollment Specialist

HSPD-12: Government Badging & Credentialing Specialist (Tampa, FL*)

HSPD-12: Government Badging & Credentialing Specialist (Traveler: Tampa, FL*)

Medical Licensing Specialist (Contract)

Credentialing Specialist

More jobs to discover

Explore jobs in cities nearby

I want to receive the latest job alert for credentialing specialist in clearwater fl

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected