Top 680 credentialing specialist Jobs

Credentialing Specialist
COMPREHENSIVE EYECARE PARTNERS LLC GROUP —Henderson, NV
- Part-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
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Credentialing & Provider Enrollment Specialist
Princeton Radiology Associates —Princeton, NJ
- From $27 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- Writing skills
- Profit sharing
- AD&D insurance
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17h
Credentialing Specialist
The Center for Orthopedic and Research E —Phoenix, AZ
- Computer literacy
- Mid-level
- Office
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Credentialing Specialist
The CORE Institute | HOPCo —Phoenix, AZ
- Computer literacy
- Mid-level
- Office
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Credentialing Specialist
Vital Health Partners, LLC —Miami Lakes, FL
- $24 - $26 an hour
- Full-time
- Databases
- In-person
- Senior level
- Free parking
- Health insurance
Quick Apply
6d
Enrollment Specialist
WHEDco —Long Island City, NY
- $40,040 a year
- Microsoft Word
- Spanish
- Education
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Bilingual Spanish Intake and credentialing Specialist (Full-Time) – Rio Rancho / Albuquerque
The Community Lighthouse —Albuquerque, NM
- $22 - $26 an hour
- Weekends as needed
- Spanish
- Mid-level
- Administrative experience
- Paid training
- Paid parental leave
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Credentialing Specialist
David Lawrence Mental Health Center —Naples, FL
- Full-time
- Hybrid work
- Psychiatry
- Pass drug screening
- Mid-level
- Health insurance
- Dental insurance
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Credentialing & Provider Enrollment Specialist
Cardiothoracic & Vascular Surgical Associates, S.C. —Oakbrook Terrace, IL
- $65,000 - $75,000 a year
- 8 hour shift
- Hybrid work
- Background check
- Surgery
- Research
- Health savings account
- Health insurance
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7d
Medical Contracting & Credentialing Specialist
Pedes Orange County —Irvine, CA
- $30 - $35 an hour
- Full-time
- Background check
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
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Credentialing Specialist
Action Physical Therapy —Lake Worth, FL
- $20 an hour
- Full-time
- Hybrid work
- Microsoft Word
- Microsoft Excel
- Medical office experience
- Paid holidays
- Disability insurance
Quick Apply
21h
Experienced Credentialing Specialist
LBAPS (Licensed Behavior Analyst Professional Services PLLC) —Brooklyn, NY
- $33 - $38 an hour
- Full-time
- Writing skills
- Research
- Mid-level
- Paid holidays
- Paid time off
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Medical Credentialing and Enrollment Specialist
Large Medical Practice —Gainesville, GA
- Full-time
- Background check
- Mid-level
- Office
- Free parking
- Paid holidays
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8d
Licensing Specialist
Medical Licensure Group, LLC —Pensacola, FL
- $20 an hour
- Overtime
- Research
- Office
- Administrative experience
- Paid holidays
- Health insurance
Quick Apply
Medical Insurance Credentialing Specialist
Chesapeake Health Care —Salisbury, MD
- $19 - $27 an hour
- Full-time
- Mid-level
- Microsoft Office
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
1d
Senior Provider Network Specialist, Day Shift, Managed Care
Adventist HealthCare —Gaithersburg, MD
- $71,932.12 - $107,889.60 a year
- Full-time
- Microsoft Outlook
- Pass drug screening
- Research
- Free parking
- AD&D insurance
Quick Apply
Medical Billing and Credentialing Specialists
Texas Digestive Specialists —Harlingen, TX
- From $18 an hour
- Full-time
- US work authorization
- EMR systems
- In-person
- Health insurance
- Dental insurance
Quick Apply
Medical Credentialing Specialist
Medical Practice Management Services —Hayden, ID
- $16 - $20 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Health savings account
- AD&D insurance
Quick Apply
Provider Enrollment & Credentialing Specialist
Southwest Autism Research and Resource Center —Phoenix, AZ
- From $24 an hour
- Applied behavior analysis
- Mid-level
- Office
- Mileage reimbursement
- Paid holidays
Quick Apply
Credentialing Specialist
Vital Care Infusion Services —Remote
- $56,318 - $75,255 a year
- Full-time
- Remote
- Microsoft Excel
- Mid-level
- Office
- Health savings account
- Paid holidays
Quick Apply

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Credentialing Specialist

COMPREHENSIVE EYECARE PARTNERS LLC GROUP -
Henderson, NV

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Job Details

Part-time

Qualifications

Availity
Confidential information handling
Microsoft Excel
Microsoft Outlook
Phone communication
Provider enrollment for medical credentialing
High school diploma or GED
Client interaction via phone calls

Full Job Description

Comprehensive EyeCare Partners (CompEye), with twelve ophthalmology practices across Nevada, Washington, Texas, and Utah, is a leader in delivering exceptional patient eye care. All CompEye practices and teammates subscribe to the following Values and Beliefs:

Patient Focused: Delivering excellent clinical care is our central purpose. In all we do, we consider the impact on patient safety, clinical outcomes, and patient experience.
One Team: We work together collaboratively to get the job done, regardless of role or department. We are all CompEye. We are "one team.“
Compassion & Kindness: We treat others—including patients, teammates, and partners—the way we’d like to be treated, with active listening and understanding.
Continuous Innovation: We actively seek ways to improve ourselves, the care we deliver, the clinical innovations that support patients, and how we manage the business.
Integrity: We do the right thing even and especially when it’s hard. We hold ourselves accountable.
Results Driven: We deliver with a healthy sense of urgency on what we commit to and do what it takes to get the job done.

Position Summary

The Credentialing Specialist will provide operational and administrative support to the Regional Credentialing Team across multiple regions and practices. This role is responsible for maintaining provider data accuracy, assisting with payer-related updates, supporting onboarding workflows, and ensuring credentialing maintenance tasks are completed in a timely and organized manner.

Roles and Responsibilities

Coordinate and submit quarterly insurance directory roster updates for providers and practices across all applicable insurance companies and regions.
Maintain accurate provider demographic information to support payer compliance and patient access.
Update and maintain provider information within payer portals as required.
Manage provider attestations for credentialing databases including CAQH and ProviderSource.
Verify provider information, upload required documentation, and complete attestations within required timeframes.
Assist with maintenance and updates for Insurance Grid projects across all regions.
Collaborate with practice leadership and operational staff to maintain accurate insurance participation information.
Perform data entry and ongoing maintenance within credentialing software systems.
Ensure provider records, credentialing statuses, and timelines remain accurate and up to date.
Assist with maintenance and development of project boards via Monday.com for operational tracking and visibility.
Assist with time-sensitive credentialing and administrative requests as needed.
Communicate professionally with payer representatives via phone and email regarding credentialing matters.
Other duties as assigned

Experience Requirements

Minimum of three (3) years of credentialing experience required.
Clear understanding of payer enrollment and credentialing process is required.
Familiarity with CAQH, Availity, payer portals, and credential databases is required.
Proficiency in Microsoft suite products: Excel, Word, PowerPoint, and Outlook is required.
Proficient in Adobe Acrobat and DocuSignis preferred
Experience with Monday.com or similar workflow/project management platforms preferred
Strong organizational and multitasking skills with high attention to detail
Comfortable communicating with insurance payers and provider offices via phone and email
Excellent written and verbal communication skills
Ability to work independently and prioritize tasks in a fast-paced environment.
Ability to maintain professionalism and confidentiality while handling sensitive provider information.
Ability to professionally conduct payer follow-up and escalation calls regarding credentialing and enrollment statuses.

Education Requirements

High School Diploma or equivalent required
Bachelor’s degree preferred
Certified Provider Credentialing Specialist (CPCS) preferred.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. While performing the duties of this job, the employee is primarily required to sit for extended periods, use hands for typing and operating computer equipment, and talk or hear while communicating with callers. The employee may occasionally be required to stand or walk within the call center environment. The employee must have the ability to maintain focus and concentrate on tasks amidst potential distractions. Specific vision abilities required by this job include close vision for reading and distance vision for viewing computer screens. The physical demands of this position typically involve minimal lifting or carrying of objects, not exceeding 10 pounds.

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