Credentialing Specialist

PRM

Credentialing Specialist reviewing and processing applications for provider privileges at Pelvic Rehabilitation Medicine. Ensuring compliance with HIPAA regulations and administrative tasks.

Posted 7/3/2026full-timeRemote • Florida • 🇺🇸 United StatesJuniorMid-Level💰 $55,000 - $60,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in provider credentialing processes, including application review, compliance with HIPAA regulations, and effective communication with stakeholders. Proficient in managing high-volume workloads while maintaining accuracy and meeting stringent deadlines.

Highest-signal resume keywords

Provider Credentialing ExperienceHIPAA ComplianceMicrosoft Office ProficiencyProblem Solving SkillsAnalytical Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Provider CredentialingApplication ReviewRe-Credentialing AdministrationFile AnalysisData Accuracy Verification

Soft Skills

Effective CommunicationStakeholder EngagementCritical ThinkingAbility to Work Under Pressure

Tools & Technologies

Provider Credentialing SoftwareMicrosoft Office Suite

Industry Keywords

Provider PrivilegesCredentialing FileFollow-UpProcess RedesignHigh-Volume Environment

About the role

Key responsibilities & impact

Reviews and processes applications for provider privileges
Focuses on follow-up, follow through and achievement of stringent deadlines
Reviews and analyzes provider credentialing file for completeness, accuracy, issues, and changes
Responds to provider inquiries received by letter, phone, or internal departments
Administers re-credentialing of Physicians and CRNAs
Complies with HIPAA regulations
Assists with other special projects and process redesign initiatives as requested

Requirements

What you’ll need

High School Diploma required; Bachelor’s Degree preferred
Minimum 2+ years’ experience in provider credentialing
Previous experience with provider credentialing/enrollment software
Proficient in Microsoft Office suite
Highly effective communicator with the ability to engage multiple stakeholders in various organizations
Must be able to work well under pressure in a very fast-paced, high-volume environment
Possess strong problem solving, critical thinking and analytical skills

Benefits

Comp & perks

Health, Vision and Dental
Paid holiday and PTO
FSA
High-income potential