Medical Credentialing Specialist
HCCS - Healthcare Coding & Consulting Services · Fort Myers, FL · 3 days ago
HealthcarePart-time
Position Requirements
- Minimum of two (2) years of provider credentialing experience in a healthcare setting.
- High school diploma or equivalent required; Associate's or Bachelor's degree in Healthcare Administration or a related field preferred.
- Working knowledge of NCQA, CMS, and Joint Commission credentialing standards.
- Experience with payer enrollment and provider credentialing processes.
- Proficiency with Microsoft Office and credentialing platforms such as CAQH and MD-Staff.
- Excellent organizational, communication, and problem-solving skills.
- Ability to manage multiple priorities while meeting deadlines in a remote work environment.
Position Responsibilities
- Manage the credentialing and recredentialing process for approximately 132 providers across 12 healthcare facilities.
- Verify provider licensure, certifications, education, work history, malpractice coverage, and other required documentation.
- Prepare and submit credentialing, recredentialing, payer enrollment, and hospital privilege applications.
- Maintain accurate provider records and credentialing databases.
- Monitor expiration dates and coordinate timely renewals to maintain compliance.
- Communicate with providers, payers, and facility administrators to resolve credentialing issues and obtain required documentation.
- Ensure compliance with NCQA, CMS, Joint Commission, payer, and organizational standards.
- Generate reports and maintain organized workflows to support credentialing operations.
Preferred Qualifications
- Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) certification.
- Experience credentialing providers across multiple facilities or healthcare organizations.
Why Join HCCS?
- Fully remote, part-time position
- Direct-hire W-2 employment
- Competitive compensation
- 401(k)
- Paid time off
- Supportive, collaborative team environment
- Long-term career stability with a family-owned company
Schedule
Part-time
Work Location
Remote (United States)