Credentialing Specialist

Hospice of Marion County
  • Sarasota, FL
  • Remote
    14 days ago

    Job Description

    Empath Health is seeking a Credentialing Specialist to join our Credentialing team; Responsible for all aspects of the assigned organization's credentialing, re-credentialing and privileging processes for all medical providers who provide patient care. The Credentialing Specialist will ensure providers are credentialed, appointed, and privileged with health plans, hospitals, and patient care facilities. In addition, the Credentialing Specialist will maintain up to date data for each provider and ensure timely renewal of licenses and certifications, as well as maintain payer enrollment for providers and the assigned Empath Health organizations. Additionally, responsible for maintaining all contracted vendor credentialing requirements, for all vendors that serve patient's or participants, for all assigned programs within Empath's continuum of care.

    Location: Remote

    What you'll Do

    • Tracks and maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers, tracking expirables, knowledgeable of CAQH for the providers, complete primary source verifications.
    • Completes payor enrollment credentialing and re-credentialing applications; monitors and follows up as needed, creates provider rosters and maintains providers and organization in payor online portal.
    • Knowledge of Medicare or Medicaid portals and familiar with ACHA in the state of FL.
    • Collaborates with Physician Services to provide support in obtaining and maintaining hospital privileges for Empath medical providers.
    • Works closely with finance staff to identify and resolve any issues related to provider credentialing.

    Why Join Empath Health?

    • Earn Competitive Pay: Your skills and contributions are recognized and rewarded.
    • Benefits & Wellness: Medical, dental, vision, life insurance, retirement with company match, plus wellness programs to support your mind and body.
    • Industry-Leading PTO: 5+ weeks to rest, recharge, and live your Full Life.
    • Grow Your Career: CEU support, tuition reimbursement, and advancement opportunities.
    • Make a Difference: Join a mission-driven team dedicated to kindness, compassion, and Full Life Care for All.

    What You'll Need

    • Education and/or Experience: Associate's degree (A.A.) or equivalent from two-year college or technical school; or six months to one year related experience and/or training; or equivalent combination of education and experience.
    • Minimum two-three years of relevant credentialing experience preferred.
    • Certified Provider Credentialing Specialist (CPCS) preferred; active pursuit is acceptable also.
    • Strong computer skills with willingness to learn new systems. Advanced competence in Word, Excel, and PowerPoint required.
    • Ability to research and analyze data; Excellent interpersonal, verbal and written communication skills.
    • Establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization.

    What You'll Find at Empath Health

    Unified in empathy, we serve our communities through extraordinary Full Life Care for All.

    Empath Health is a not-for-profit healthcare organization providing Full Life Care through a connected network of services across Florida, including hospice, home health, grief care, geriatric primary care, elder care (PACE), HIV and sexual health (EPIC), and dementia support.

    Full Life Care means caring for the whole person, body, mind, and spirit, with empathy and dignity. Our care goes beyond medicine to help people feel seen, supported, and valued at every stage of life.

    At Empath Health, you'll find purpose, partnership, and possibility in a culture where compassion drives excellence and every team member helps make life's journey more meaningful.

    Numbers & Facts

    LocationSarasota, FL (
    Remote
    )

    Skills

    • Aged Careunmatched
    • Certified Provider Credentialing Specialist (CPCS)unmatched
    • Communication Skillsunmatched
    • Computer Skillsunmatched
    • Contract Managementunmatched
    • Contract Requirementsunmatched
    • Data Analysisunmatched
    • Dementiaunmatched
    • Epic Systemsunmatched
    • Financeunmatched
    • Geriatricsunmatched
    • HIV/AIDS (Acquired Immune Deficiency Syndrome)unmatched
    • Health Planunmatched
    • Healthcareunmatched
    • Healthcare Providersunmatched
    • Home Careunmatched
    • Hospice Careunmatched
    • Hospitalunmatched
    • Internet Portalunmatched
    • Interpersonal Skillsunmatched
    • Life Insuranceunmatched
    • Medicaidunmatched
    • Medicareunmatched
    • Medicineunmatched
    • Microsoft Excelunmatched
    • Microsoft PowerPointunmatched
    • Microsoft Wordunmatched
    • Network Connectivityunmatched
    • Nonprofitunmatched
    • Patient Careunmatched
    • Presentation/Verbal Skillsunmatched
    • Primary Careunmatched
    • Problem Solving Skillsunmatched
    • Provider Credentialingunmatched
    • Research Skillsunmatched
    • Time Managementunmatched
    • Tuition Reimbursementunmatched
    • United States Drug Enforcement Agency (DEA)unmatched
    • Vision Planunmatched
    • Writing Skillsunmatched

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