305 Results for

Credentialing Specialist Jobs in Florida

Jobs

Naples, FL30+ days ago

Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region.

Fort Walton Beach, FL30+ days ago

Leesburg, FL30+ days ago

Tampa, FL30+ days ago

Marathon, FL30+ days ago

New!

Fort Walton Beach, FL3 days ago

$1,921.52–$1,921.52

If you’ve got: 2+ years of experience in your specialty An active RN license BLS certification from the American Heart Association And a love for nursing (plus a little sense of adventure!) . Pay That’s Worth Your Time: We offer competitive pay packages, weekly direct deposit, and a dedicated payroll specialist who’s always just a message away.

New!

Largo, FL3 days ago

$2,000–$2,000

New!

Fort Pierce, FL1 day ago

$1,986–$1,986

Davie, FL11 days ago

Join Uline as an Administrative Assistant supporting our Ft. Lauderdale sales team as we continue to grow as a top distributor of shipping, industrial and packaging materials. Uline, a family-owned company, is North America’s leading distributor of shipping, industrial, and packaging materials with over 9,800 employees across 14 locations and 17 sales offices.

New!

Orlando, FL1 day ago

Full-time
Employee

How to Apply: Candidates should send their resumes to Paulo Alves at 6965 Piazza Grande Ave, Ste 417, Orlando, FL 32835, or by email to paulo@depaularealtyusa.com. Requirements: Minimum of 24 months of experience in administrative assistant or related areas, and fluency in Portuguese.

Miami, FL30+ days ago

$60,000–$70,000 Per Year

This role ensures MD, APRN, RPSGT, RTT profiles and facilities are appropriately credentialed and licensed (include Rx authority and autonomous practice when applicable), re-credentialed, and contracted in compliance with regulatory, payer, and organizational requirements. That breakthrough has evolved into a full sleep-health platform: advanced diagnostic and treatment technology paired with clinical care delivered directly to patients' homes through Dreem Health in all 50 U.S. states.

Orlando, FL13 days ago

We are a well-established and expanding Ear, Nose & Throat (ENT) medical group seeking a detail-oriented and proactive Credentialing Specialist to join our administrative team. This role is critical to ensuring our providers are credentialed, compliant, and able to focus on what they do best—delivering exceptional patient care.

Orlando, FL7 days ago

New!

Crystal River, FLToday

The Credentialing & Enrollment Specialist will manage the full lifecycle of provider credentialing and payer enrollment, including initial applications, revalidations, and ongoing maintenance. This role is responsible for managing complex provider credentialing and payer enrollment processes across multiple entities, locations, and states.

Miami, FL10 days ago

Complete and track initial and re-credentialing applications for various health insurance portals, including CAQH, PECOS, NPPES, Navinet, Availity, PaySpan, CMS, and Managed Care Organizations. As a Healthcare Credentialing Specialist, you will be responsible for managing the credentialing and re-credentialing process for all of our physicians and mid-level healthcare providers.

New!

Sunrise, FL6 days ago

As a wholly-owned subsidiary of HCA Healthcare and a preferred partner to thousands of top-performing hospitals, we are the largest managed services provider in the healthcare industry. With over 28,000 professionals placed in healthcare roles each year, we take pride in expanding skill sets, broadening career horizons, providing economic stability, and cultivating personal growth.

Miami, FL10 days ago

At Pinnacle Wound Management, we are dedicated to improving the lives of patients through high-quality wound care delivered by expert physicians, nurse practitioners, and physician assistants. The Provider Enrollment & Credentialing Specialist will be responsible for the full-cycle credentialing and enrollment of our healthcare providers, including physicians and mid-level practitioners.

Hollywood, FL8 days ago

Northern 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).

WESLEY CHAPEL, Florida10 days ago

Three (3) years experience credentialing/privileging or; One (1) year of credentialing/privileging experience and/or two (2) years of clinical experience. Provides exceptional customer service to physicians and physician office staff members as well as internal customers, such as .

WESLEY CHAPEL, Florida10 days ago

Wellington, Florida30+ days ago

Remote

$70,000–$80,000

The Credentialing Specialist is responsible for supporting the end-to-end provider credentialing and privileging process to ensure healthcare providers meet all regulatory, accreditation, and organizational requirements. The Credentialing Specialist works closely with internal teams and external stakeholders to ensure timely and compliant processing of provider credentialing and re-credentialing activities.

Tampa, FL30+ days ago

Remote

Full-time

Technical Skills: Proficient with key databases, including credentialing software systems, Provider Data Management Systems, and Provider Information Management Systems; working knowledge of Provider credentialing policies and procedures, healthcare or managed care experience. Performs credentialing activities including primary source verifications, communicating with Providers to request missing information supporting the integrity of Provider data in all downstream systems, and key-entering initial data of potential network Providers into the credentialing system.

Jacksonville, FL30+ days ago

$60,000–$70,000 Per Year

We partner directly with hospitals—no outpatient clinics, no traditional practice model—and are rapidly expanding across multiple states. We are seeking an experienced Credentialing Specialist to lead hospital privileging and payer enrollment for a growing, multi-state provider group.

Jacksonville, FL30+ days ago

Credentialing Specialists will provide credentialing service and support to operate IRS credentialing sites utilizing the GSA scheduling tool to manage credentialing appointments, run reports through the USAccess system, and use credentialing equipment to conduct post issuance and enrollment activities. Credentialing Specialists shall perform enrollment and Issuance of Identification Cards to include PIV/Smart IDs, Access Cards, PAC Cards, issue and activate SmartID Cards, Perform Certificate Rekey, Pin Reset, and Card Update .

Weston, FL30+ days ago

Remote

The 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.

Jacksonville, FL30+ days ago

Full-time

Skills & Abilities: Must be able to organize work, respond to crisis situations, use judgment in the decision-making process, interface with all facilities to which U.S. Navy Reserves, Navy Recruiting Command supplies healthcare providers and cooperate with military and civilian members of the staff. Experience providing credentialing support to Centralized Credentials and Privileging Directorate (CCPD) by gathering specific required credentials information for healthcare providers, performing Primary Source Verification (PSV) of appropriate credentials and conducting National Practitioner.

Hollywood, FL30+ days ago

Tampa, FL30+ days ago

Remote

Full-time

As part of an assigned team, develops effective collaborative relationships with TriWest's inter and intra-departmental stakeholders and other SMEs, C-Suite executives, and other leaders in Operations, Health Care Services, Provider Network, and IT to ensure that TriWest meets contractual requirements and fulfills organizational objectives. The Provider Program Manager ensures that strategic, enterprise-wide programs are well defined, planned, tracked, and communicated in a consistent manner; is responsible for collaborating with C-Suite executives and other stakeholders; and is responsible for deliverables that meet defined requirements and for utilizing project management best practices.

Jacksonville, Florida16 days ago

Required Licensure/Certifications: Certified Provider Credentialing Specialist (CPCS) OR Certified Professional Medical Services Management (CPMSM) by the National Association of Medical Staff Services within two (2) years of date of hire or transfer into position. Required Experience: 1-2 years Medical staff services/credentialing, healthcare, human resources in a healthcare environment or related field OR Crystal report writing experience.

Tallahassee, Florida28 days ago

This role partners closely with clinical leaders and hiring managers to attract, screen, and hire qualified clinical and non‑clinical talent in a highly competitive healthcare labor market. WHO WE ARE & WHAT WE DO: Tallahassee Memorial Healthcare (TMH) is a private, nonprofit community-based healthcare system that provides care to a 22-county region in North Florida and South Georgia.

Sarasota, Florida7 days ago

Employment Screening Requirements: As part of Sarasota Memorial Health Care System’s commitment to keeping people safe, all individuals providing care to vulnerable populations are required to undergo background screening through The Florida Care Provider Background Screening Clearinghouse. Join Sarasota Memorial Health Care System as a Talent Onboarding Specialist and play a key role in welcoming and supporting new team members as they begin their careers within one of Florida’s top healthcare systems.

New!

Sarasota, FL4 days ago

The Post-Acute Clinical Documentation Integrity Specialist is responsible for facilitating the improvement in the overall quality and completeness of clinical documentation to support coding in the post-acuteinpatient setting, and will be responsible for reviewing daily new admission inpatient post-acute medical records, as well as, subsequent reviews while patient is still in-house (concurrent) until discharged. - Prefer knowledge of Prospective Payment System methodology in area of hire (Skilled Nursing Facility Prospective Payment System - Patient Driven Payment Model (PDPM); Inpatient Rehabilitation Facility - Case Mix Group (CMG); Long Term Care Hospital - MS-LTC-DRG).

Kissimmee, FL30+ days ago

Skills/Qualifications: Multi-tasking, Flexibility, Telephone Skills, Customer Service, Time Management, Organization, Attention to Detail, Scheduling, Word Processing, Professionalism, Quality Focus. Ensures insurance coverage by telephone or web portal, resolves any issues with coverage, and escalates complicated issues to a supervisor or manager.

St. Augustine, Florida30+ days ago

PREFERRED EXPERIENCE: Experience coordinating credentialing and enrollment (Medical Staff Services, payer enrollment, PECOS/CAQH familiarity) Revenue cycle knowledge including billing setup, NPI taxonomy, charge capture considerations Budget management experience including capital and operating expense oversight. Overview: The Transition Specialist- Project Manager is responsible for the successful planning, coordination, and execution of assigned projects to include, but is not limited to, ambulatory programs, services, clinic openings, and/or site expansions.

Miami, FL30+ days ago

Remote

Maintain existing and incoming provider demographic information to ensure accuracy and quality of the network by supporting run-state, repeatable issues of moderate complexity. This role involves regular communication with providers via email to confirm request completion, obtain additional information, and address follow-up inquiries.

Sarasota, Florida30+ days ago

Job Summary: The Post-Acute Clinical Documentation Integrity Specialist is responsible for facilitating the improvement in the overall quality and completeness of clinical documentation to support coding in the post-acute inpatient setting, and will be responsible for reviewing daily new admission inpatient post-acute medical records, as well as, subsequent reviews while patient is still in-house (concurrent) until discharged. - Prefer knowledge of Prospective Payment System methodology in area of hire (Skilled Nursing Facility Prospective Payment System - Patient Driven Payment Model (PDPM); Inpatient Rehabilitation Facility – Case Mix Group (CMG); Long Term Care Hospital – MS-LTC-DRG).

Florida30+ days ago

Through 815+ clinics, 23 IVF labs, nationwide telehealth capabilities, and targeted case management, our 2,700+ independent, affiliated providers deliver comprehensive women’s health services and continuously work to implement methods and develop techniques or platforms that improve the healthcare experience. The individual will demonstrate competent data and process analytical skills, high accuracy, attention to detail, ability to train new and existing personnel, and will contribute to a positive team atmosphere through collaboration with other Performance Improvement Specialists and others impacted by the proposed changes.

Tamarac, FL10 days ago

What qualifications you will need: Licensed Professional in a clinical health care specialty - (RN) Registered Nurse, or (OT) Occupational Therapist, or (LPT) Licensed Physical Therapist, or (SLP) Speech-Language Pathologist. The Clinical Rehabilitation Specialist is the primary responsible party focused on moving appropriate candidates into inpatient rehabilitation at the appropriate time.

Gainesville, FL30+ days ago

$240,000–$300,000 Per Year

In addition to providing excellence in patient care, ample opportunities exist to develop independent and collaborative research initiatives and innovative educational programs within an academic medical center clinical department. Degrees earned from an education institution outside of the United States are required to be evaluated by a professional credentialing service provider approval by National Association of Credential Evaluation Services (NACES), which can be found at http://naces.org/.

Gainesville, FL30+ days ago

$260,000–$285,000 Per Year

Degrees earned from an education institution outside of the United States are required to be evaluated by a professional credentialing service provider approval by National Association of Credential Evaluation Services (NACES), which can be found at http://naces.org/. In addition to delivering excellence in patient care, the successful candidate will have ample opportunities to develop independent and collaborative research initiatives and to contribute to innovative educational programs within a dynamic academic medical center.

Lakeland, Florida30+ days ago

With hundreds of locations across 45 states, our team delivers high-quality products, exceptional service, and compassionate support that helps patients live more comfortably, independently, and actively. Documents all collections activity in IMBS patient collections notes and on the collections daily work sheet and sends completed sheet to Collections Supervisor .

Orlando, FL30+ days ago

$16–$22 Per Hour

We are the Southeast's highest-rated and fastest-growing equipment service company, with a massive 40% expansion last year-and even greater growth projected this year. This role blends accounts receivable excellence with office administrative support-perfect for someone who thrives wearing multiple hats.

Sarasota, Florida30+ days ago

Job Summary: Provides administrative support responsible for accurate and timely posting of Surgery, Emergency Room (ECC) charges for either SMH or North Port, hospital wide observation charges, or Delivery/High Risk Antepartum/Testing/Triage charges, under the direction and supervision of the Revenue Cycle Management. Employment Screening Requirements: As part of Sarasota Memorial Health Care System’s commitment to keeping people safe, all individuals providing care to vulnerable populations are required to undergo background screening through The Florida Care Provider Background Screening Clearinghouse.

Sarasota, Florida30+ days ago

Job Summary: Provides administrative support responsible for accurate and timely posting of Surgery, Emergency Room (ECC) charges for either SMHCS or North Port, hospital wide observation charges, or Delivery/High Risk Antepartum/Testing/Triage charges, under the direction and supervision of Revenue Cycle Management. Preferred Education: Required License and Certs: Preferred License and Certs: Employment Screening Requirements: As part of Sarasota Memorial Health Care System’s commitment to keeping people safe, all individuals providing care to vulnerable populations are required to undergo background screening through The Florida Care Provider Background Screening Clearinghouse.

Boynton Beach, FL30+ days ago

The role of the Offshore Operational Specialist at the NYU Grossman School of Medicine Faculty Group Practice involves managing and facilitating daily engagement with offshore partners to ensure the successful execution of tasks outlined in the service level agreement. Knowledge Sharing Sessions: Conduct regular knowledge sharing sessions with offshore teams to disseminate best practices, industry trends, and tips for optimizing workflow processes as well as how to identify trends in the data reviewed.

New!

Sunrise, FL5 days ago

As a wholly-owned subsidiary of HCA Healthcare and a preferred partner to thousands of top-performing hospitals, we are the largest managed services provider in the healthcare industry. KNOWLEDGE, SKILLS, & ABILITIES – This position requires the following minimal requirements: · Strong interpersonal skills with the ability to communicate with all levels of personnel, Ability to execute tasks independently.

Miami, FL30+ days ago

Remote

The CAS position will be responsible for providing training and education to new and existing Sentec users and will work closely with the field sales and marketing organization to support new hire and ongoing sales training and development. Since its founding in 1999, Sentec utilizes a deep-tech approach that is founded on advanced science and avant-garde technologies for respiratory patients across care areas.

Miami, FL7 days ago

A busy and well established network of Ambulatory Surgery Centers is seeking a highly skilled and connected Business Development Manager to drive growth for our surgical centers. The ideal candidate brings established relationships with physicians and PI attorneys, a strong entrepreneurial mindset and the ability to operate independently while collaborating effectively with our team.

New!

Jacksonville, FL3 days ago

Remote

$77,000–$143,000 Per Year

COVID-19 Vaccine Policy (customer-facing roles only): While Novartis does not require vaccination for COVID-19 or proof of a recent negative test result for COVID-19 at this time, employees working in customer-facing roles must adhere to and comply with customers' (such as hospitals, physician offices, etc.) credentialing guidelines, which may require vaccination. Executive Territory Account Specialist: 10+ years' experience in specialty pharmaceutical, biotech, healthcare, medical device, diagnostics, life sciences services, insurance, consumer health, B2B sectors or sales role of similar complexity within the last 5 years.

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Credentialing Specialist Jobs in Florida

Child Life Specialist - FT Days - Pediatrics and PICU - Immokalee Lehigh Valley Health Network

Child Life Specialist - FT Days - Pediatrics and PICU - Crestview Lehigh Valley Health Network

Child Life Specialist - FT Days - Pediatrics and PICU - Tavares Lehigh Valley Health Network

Child Life Specialist - FT Days - Pediatrics and PICU - Apollo Beach Lehigh Valley Health Network

Child Life Specialist - FT Days - Pediatrics and PICU - Marathon Lehigh Valley Health Network

Travel Nurse RN - Case Manager - $1,922 per week in Fort Walton Beach, FL Openwork Health

Travel Nurse RN - Case Manager - $2,000 per week in Largo, FL Openwork Health

Travel Nurse RN - Case Manager - $1,986 per week in Fort Pierce, FL Openwork Health

Administrative Assistant - Sales Uline

Real Estate Administrative Assistant DE PAULA REALTY USA, INC.

Contracting & Credentialing Specialist Sunrise Group

Credentialing Specialist Elevate ENT Partners

Credentialing Specialist Elevate ENT Physicians

Provider Enrollment & Credentialing Specialist PedIM Healthcare

Healthcare Credentialing Specialist Pinnacle Wound Management

Credentialing Specialist WFH HCA Healthcare

Provider Enrollment & Credentialing Specialist Pinnacle Wound Management

Credentialing Specialist Northern Light Radiology Associates, Inc

Credentialing Specialist Florida Medical Clinic

Credentialing Specialist Orlando Health

Credentialing Specialist Bayfront Health

Credentialing Specialist Leslie Prince

Provider Credentialing Specialist TriWest Healthcare Alliance

Credentialing Specialist Glycare

Credentialing Specialists Armada Ltd

(Remote) Provider Contracting & Credentialing Coordinator The Recovery Village

Medical Credentialing Clerk, Jacksonville, FL ASP Web Solutions

Medical Staff Coordinator - Physician Hospital Credentialing Northern Light Radiology Associates, Inc

Provider Program Manager (Provider Credentialing Required) TriWest Healthcare Alliance

Medical Staff Information Specialist | Medical Staff Department | Day UF Health

Talent Acquisition Specialist Tallahassee Memorial Healthcare

Talent Onboarding Specialist Sarasota Memorial Health Care System

Post-Acute Clinical Documentation Integrity Specialist Sarasota Memorial Hospital

Insurance Verification Specialist Mindful Behavioral Healthcare

Transition Specialist - Project Manager| UF Health Ambulatory Services UF Health

Specialist, Provider Data Operations Oscar Health

Post-Acute Clinical Documentation Integrity Specialist Sarasota Memorial Health Care System

RCM Business Performance Improvement & Integrations Specialist Unified Women's Healthcare

Clinical Rehab Specialist HCA Healthcare

Glaucoma Specialist (Assistant/Associate/Full Professor) University of Florida

Cornea Specialist (Assistant/Associate/Full Professor) University of Florida

Medical Billing & Collections Specialist (Paid Internship) Rotech Healthcare Inc.

Administrative Assistant - Accounts Receivable Specialist AAA Forklifts

Reimbursement Specialist PRN Sarasota Memorial Health Care System

Reimbursement Specialist II Sarasota Memorial Health Care System

Offshore Operational Specialist (Central Billing Office) - Boynton Beach, Florida NYU Langone Medical Center

Centralized Onboarding Specialist WFH HCA Healthcare

Clinical Application Specialist Sentec

Surgical Center Business Development Specialist HOLLYWOOD ASC

Allergy Territory Account Specialist -Jacksonville / Orlando, FL Avery Healthcare Group

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