Florida Credentialing Specialist

A company is looking for a Credentialing/Payor Enrollment Specialist to manage the payor enrollment process and support clinical onboarding. Key Responsibilities Compile and maintain accurate data for clinical providers and manage credentialing documentation Partner with HR to ensure new providers are enrolled in health plans before their start date and assist with Medicaid and Medicare applications Collaborate with vendors and drive process improvements to enhance payor enrollment efficiency Required Qualifications Minimum of three years of relevant credentialing/payor enrollment experience Strong knowledge of Medicaid, Medicare, and private payer insurance systems Highly organized with the ability to multitask and manage competing priorities Ability to work under pressure in a fast-paced environment Proactive in seeking and recommending new technologies and tools for efficiency

Apr 17, 2025 - 00:33

A company is looking for a Credentialing/Payor Enrollment Specialist to manage the payor enrollment process and support clinical onboarding. Key Responsibilities Compile and maintain accurate data for clinical providers and manage credentialing documentation Partner with HR to ensure new providers are enrolled in health plans before their start date and assist with Medicaid and Medicare applications Collaborate with vendors and drive process improvements to enhance payor enrollment efficiency Required Qualifications Minimum of three years of relevant credentialing/payor enrollment experience Strong knowledge of Medicaid, Medicare, and private payer insurance systems Highly organized with the ability to multitask and manage competing priorities Ability to work under pressure in a fast-paced environment Proactive in seeking and recommending new technologies and tools for efficiency