Credentialing Specialist Part-time

Job Summary- This job is not a remote position-
The Credentialing Specialist is responsible for managing all aspects of provider credentialing, recredentialing, and enrollment with insurance payers, hospitals, and regulatory agencies. This role ensures providers are properly credentialed and compliant to maintain uninterrupted reimbursement and participation.

Key Responsibilities

• Coordinate and maintain provider credentialing and recredentialing with commercial payers, Medicare, and Medicaid
• Complete and submit provider enrollment applications (CAQH, PECOS, and state Medicaid portals)
• Track and monitor credentialing application status and follow up as needed
• Maintain accurate provider files and credentialing databases
• Ensure compliance with regulatory requirements and payer guidelines
• Assist with hospital privileging applications
• Maintain CAQH profiles and attestations
• Monitor expiring licenses, certifications, DEA registrations, and malpractice coverage
• Work closely with the billing department to resolve enrollment-related claim issues

Qualifications

• 2+ years of medical credentialing experience (preferred in a specialty practice)
• Knowledge of Medicare, Medicaid, and commercial insurance enrollment processes
• Experience with CAQH, PECOS, and provider enrollment portals
• Strong organizational and follow-up skills
• Excellent communication skills
• Proficiency in Excel and Microsoft Office

Compensation & Benefits

• Competitive salary (based on experience)
• Health, dental, and vision insurance
• Paid time off
• Retirement plan options
• Supportive team environment

We are a dedicated respiratory care and sleep medicine facility committed to delivering exceptional patient care through a team of skilled providers and support staff. As we continue to grow, we are seeking a Credentialing and Administrative Assistant to help us ensure that our providers are fully credentialed, enrolled, and supported in their clinical and operational efforts.

Pay: $20.00 - $23.00 per hour

Experience:

• credentialing : 3 years (Required)

Ability to Commute:

• Jacksonville, FL 32207 (Required)

Ability to Relocate:

• Jacksonville, FL 32207: Relocate before starting work (Required)

Work Location: In person