New(Remote) Payor Enrollment Specialist and Credentialing Coordinator The Recovery Village(Remote) Payor Enrollment Specialist and Credentialing CoordinatorWeston, FLRemote$21–$24The Provider Contracting and Credentialing Subject Matter Expert (SME) is responsible for assisting the organization with payer contracting efforts, including but not limited to; provider applications, contract analysis, negotiations, credentialing of facilities and medical/clinical providers. This position ensures the contracting and credentialing department works successfully with multiple departments including Sales/Marketing, Finance, Legal, Compliance, Medical and Operations.
New(Remote) Payor Enrollment Specialist And Credentialing Coordinator The Recovery Village(Remote) Payor Enrollment Specialist And Credentialing CoordinatorWeston, FLRemote$21–$24 / hourThe Provider Contracting and Credentialing Subject Matter Expert (SME) is responsible for assisting the organization with payer contracting efforts, including but not limited to; provider applications, contract analysis, negotiations, credentialing of facilities and medical/clinical providers. This position ensures the contracting and credentialing department works successfully with multiple departments including Sales/Marketing, Finance, Legal, Compliance, Medical and Operations.
Credentialing Specialist Palm CareersCredentialing SpecialistOakland Park, FLORIDAPalm Health Resources, a nationally recognized healthcare staffing firm, is seeking an experienced Credentialing Specialist with a background in locum tenens credentialing for Physicians and Advanced Practice Providers. This role offers the opportunity to work alongside a supportive, high-performing team while playing a critical role in connecting healthcare providers with facilities nationwide.
Credentialing Specialist Northern Light Radiology Associates, IncCredentialing SpecialistHollywood, FLNorthern Light Medical Management is a physician-led, patient-centered healthcare organization committed to delivering high-quality, accessible, and innovative care across our network of medical practices. Working knowledge of credentialing platforms and systems, including Federation of State Medical Boards (FSMB), Interstate Medical Licensure Compact (IMLC), and CAQH (CAQH).
Credentialing Specialist Community Health of South Florida Inc.Credentialing SpecialistMiami, FLPOSITION REQUIREMENTS / QUALIFICATIONS: Education/Experience: Five years of experience in a healthcare-related position and/or Associate's degree or equivalent from a two-year college or technical school or equivalent combined experience. POSITION PURPOSE: The Credentialing Specialist is responsible for credentialing and recredentialing all billable providers, specialties, and facilities.
Credentialing Specialist Nova Medical ServicesCredentialing SpecialistMiami, FL$18–$25 / hourThe Credentialing Specialist will be responsible for managing the credentialing and recredentialing process for healthcare providers while ensuring compliance with federal, state, payer, and accreditation requirements. If you have a passion for healthcare administration, thrive in a fast-paced environment, and have extensive experience managing provider credentialing, we'd love to hear from you!
HSPD-12: Government Badging & Credentialing Specialist ElectrosoftHSPD-12: Government Badging & Credentialing SpecialistPlantation, FL$30,000–$40,000 / yearThe camaraderie we share emanates from Lunch & Learn sessions where we explore new ideas together, fun group activities ranging from escape rooms to miniature golf, and much, much more. What sets us apart from all other contractors is the sense of teamwork our employees feel – and the knowledge that outstanding effort is recognized and rewarded.
NewCredentialing Specialist - Hybrid (Full Time, Day shift) Nicklaus Children's HospitalCredentialing Specialist - Hybrid (Full Time, Day shift)Miami, FLThis role provides exceptional customer service to physicians, advanced practice providers, other clinicians, and internal and external stakeholders by coordinating the efficient and accurate processing of credentialing applications and related files for affiliate hospitals, internal telehealth credentialing, and all applicable service locations. Supports provider onboarding and MSO and Telehealth credentialing readiness activities for physicians and other NCPS providers; payer enrollment functions are excluded from this role unless specifically assigned.
HSPD-12: Government Badging & Credentialing Specialist Electrosoft Services IncHSPD-12: Government Badging & Credentialing SpecialistPlantation, FL$30,000–$40,000 / yearDuties and Responsibilities: Enrollment Process Management: Schedule appointments and/or service walk-ins for Personal Identity Verification (PIV) Card Activations, Enrollments, Certificate Updates, and PIN Resets. The camaraderie we share emanates from Lunch & Learn sessions where we explore new ideas together, fun group activities ranging from escape rooms to miniature golf, and much, much more.
Credentialing Specialist WFH HCA Healthcare IncCredentialing Specialist WFHSunrise, FLKNOWLEDGE, SKILLS, & ABILITIES - This position requires the following minimal requirements: Excellent written and verbal communication skillsExcellent organizational skillsExcellent customer service skills Ability to multi task and prioritizeAbility to work well independently and within a team environmentHigh Level of Proficiency with Microsoft office products such as Outlook, Excel and Word EDUCATION - High School Diploma or GED Equivalent Required EXPERIENCE - 3-5 years' experience in credentialing preferred CERTIFICATE/LICENSE - None PHYSICAL DEMANDS/WORKING CONDITIONS - Exert up to 20 lbs force occasionally and/or up to 10 lbs frequentlyRequires eye-hand coordination and manual dexterity sufficient to operate a Keyboard, photocopier, telephone, calculator, and other office equipment. Immediately reports to the appropriate persons any test results needing special attention & handles each such instance legally & appropriately with the applicantConducts post-offer, pre-employment background screenings in a timely manner, promptly reporting to the appropriate persons any background data needing special attention and handlingEnsures copies of proper licenses and other required documents are present in employee's files prior to employee starting Completes compilation of new hire hard-copy files; audits for accuracy and completeness Ensures that all required documentation is complete in all employee files and completes audits as neededInforms Director of Credentialing immediately of any circumstances meriting special attention: Allegations of wrongdoing on any part; possibility of litigation, etcResponds promptly and effectively to special analysis of human resources data.
Credentialing Specialist One Federal SolutionCredentialing SpecialistSunrise, FLExperience operating credentialing equipment, including Fixed Credentialing Units, Mobile Credentialing Units, Light Activation Kits, credential printers, scanners, laptops, and related hardware. The Credentialing Specialist will perform credential enrollment, issuance, activation, inventory management, and customer support activities while ensuring compliance with established credentialing policies and security procedures.
Credentialing Coordinator Independent Living Systems LLCCredentialing CoordinatorMiami, FLResponsibilities: Administer the end-to-end credentialing and re-credentialing process for contracted providers, including collecting, verifying, and maintaining documentation of qualifications, licenses, certifications, and work history. Ultimately, the Credentialing Coordinator ensures that all contracted providers are properly qualified and authorized to provide health and social care services, thereby safeguarding the organization's reputation and operational integrity.
Credentialing Coordinator Integrated Resources, IncCredentialing CoordinatorDoral, FloridaContractorCredentialing CoordinatorThe Credentialing Coordinator is responsible for processing and completing the credentialing and recredentialing functions of all providers in accordance with NCQA, state, and federal requirements. Monitors the progress and completion of all site visits by the provider network team to ensure completion within established timeframe.
Credentialing Coordinator HN1Credentialing CoordinatorMiami, FloridaCompany Overview: Health Network One (HN1) partners with health plans and providers to modernize how specialty care is delivered and managed, reducing complexity, driving better performance, and improving lives. Position Summary: This position is responsible for the initial credentialing and re-credentialing of network providers, and for the maintenance of provider credentialing files, electronically and on paper.
Credentialing Coordinator South Florida Community Care NetworkCredentialing CoordinatorSunrise, FLScreen providers across various systems, platforms, and databases such as the National Practitioner Database (NPDB), System for Award Management (SAM), the Office of Inspector General (OIG), the Agency for Healthcare Administration (AHCA), Social Security Death Master File (DMF), NPI registry, and the Florida Medicaid Provider Master List (PML). Maintains inter-departmental relationships with Provider Operations and Provider Data Management teams to ensure efficient, timely, and accurate processing of provider applications, and network enrollments, updates, and terminations.
Licensing Specialist Hayes LocumsLicensing SpecialistFort Lauderdale, FloridaFounded in 2012, Hayes Locums is trusted by physicians and healthcare partners nationwide for integrity, reliability, and service excellence , and is ranked the 6th largest locum tenens firm by Staffing Industry Analysts (SIA) . The Licensing Specialist is part of the Hayes Locums Medical Support Staff (MSS) team and plays a critical role in supporting provider placements by managing the healthcare licensing process for physicians and advanced practice providers nationwide.
New(Remote) Provider Enrollment Specialist The Recovery Village(Remote) Provider Enrollment SpecialistWeston, FloridaRemoteThe Provider Contracting and Credentialing Subject Matter Expert (SME) is responsible for assisting the organization with payer contracting efforts, including but not limited to; provider applications, contract analysis, negotiations, credentialing of facilities and medical/clinical providers. This position ensures the contracting and credentialing department works successfully with multiple departments including Sales/Marketing, Finance, Legal, Compliance, Medical and Operations.
Network Data Specialist FLORIDA DOCTORS GROUP CORPNetwork Data Specialistcoral gables, FLFull timeYou'll work closely with insurance companies, healthcare providers, and internal departments to ensure our providers remain compliant, accurately represented, and ready to serve our members. In this role, you will play a critical part in maintaining the integrity of our provider network by supporting credentialing, provider data management, contracting, and health plan enrollment activities.
NewProvider Contracting Specialist NationsBenefits, LLCProvider Contracting SpecialistPlantation, FLWorking in close partnership with Provider Recruiters, this role is responsible for converting engaged provider prospects into contracted network participants through effective negotiation, relationship management, and consultative problem-solving. The ideal candidate combines healthcare industry knowledge, strong negotiation skills, provider relations experience, and the ability to build trust with practice owners, administrators, and healthcare leaders.
Nursing Quality Management Specialist 2 - Full Time University of MiamiNursing Quality Management Specialist 2 - Full TimeMiami, FLExperience: Minimum of 4 years' experience (comprised of at least 2 years clinical nurse work experience in a clinical or healthcare environment AND at least 2 years direct experience managing clinical quality outcomes involving accreditation and/or quality assurance activities, inclusive of a service lines or a disease specific group). Evidence of ability to draw on knowledge from the following areas: Measurement of patient needs and nursing workload, continuous process improvement processes, performance improvement, service excellence, systems for patient safety, healthcare quality.