Medical Credentialing Specialist

HCCS - Healthcare Coding & Consulting Services

Credentialing Specialist managing provider credentialing for healthcare organizations. Responsible for verifying licenses, certifications and maintaining compliance documentation across multiple facilities.

Posted 7/21/2026part-timeRemote • Florida • 🇺🇸 United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing the credentialing and recredentialing processes for healthcare providers, ensuring compliance with NCQA, CMS, and Joint Commission standards. Proficient in utilizing credentialing platforms and maintaining accurate provider records while effectively communicating with stakeholders.

Highest-signal resume keywords

Provider Credentialing ExperienceNCQA CompliancePayer Enrollment ProcessesCredentialing Platforms ProficiencyOrganizational Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Credentialing Process ManagementProvider Licensure VerificationDocumentation PreparationDatabase MaintenanceReport Generation

Soft Skills

Communication SkillsProblem-Solving SkillsOrganizational Skills

Tools & Technologies

Microsoft OfficeCAQHMD-Staff

Industry Keywords

Healthcare AdministrationJoint Commission StandardsCMS ComplianceCredentialing Standards

About the role

Key responsibilities & impact

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.

Requirements

What you’ll need

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.

Benefits

Comp & perks

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