90 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, FL1 day 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!

Brooksville, FL1 day ago

$1,986–$1,986

New!

Largo, FL1 day ago

$2,000–$2,000

New!

Fort Walton Beach, FL1 day ago

$1,933.07–$1,933.07

New!

Coconut Creek, FL1 day ago

$1,986.72–$1,986.72

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.

BRADENTON, FL30+ days ago

Services include emergency services and freestanding emergency department, general and robotic surgery, maternity care, breast health, cardiology, orthopedic surgery, stroke, sleep medicine, urology and wound care. At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries.

Sarasota, Florida11 days ago

Collaboration: Work closely with cross-functional teams, including revenue cycle, operations, and clinical leadership, to align insurance plan management strategies with overall organizational goals. Analytical Skills: Strong analytical and problem-solving abilities to interpret insurance data, identify trends, make informed decisions based on information provided by DCA’s credentialing SAAS reports.

Orlando, FL17 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.

Miami, FL20 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.

Oakland Park, FLORIDA9 days ago

Palm 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.

Sunrise, FL18 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.

Hollywood, FL18 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, Florida20 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, Florida20 days ago

Miami, FL20 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.

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.

Tampa, 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 .

New!

Boca Raton, Florida3 days ago

Why Choose Sage: Sage Dental Management is a leading, rapidly growing Dental Service Organization (DSO) committed to innovation, excellence, and patient-centered care. The Delegated Credentialing Specialist is responsible for organizing, maintaining, and verifying all aspects of the delegated credentialing process for General and Specialty Dentists.

Orlando, FL17 days ago

Through our award-winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities, our 27,000+ team members serve communities that span Florida's east to west coasts and beyond. ORLANDO HEALTH - BENEFITS & PERKS: All Inclusive Benefits (start day one) Student loan repayment, tuition reimbursement, FREE college education programs, retirement savings, paid paternity leave, fertility benefits, back up elder and childcare, pet insurance, PTO/Holidays, and more for full time and part time employees.

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.

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.

Tampa, FL30+ days ago

Remote

$61,851–$81,180 Per Year

Positively impact provider experiences and member outcomes by ensuring provider data is maintained consistently and managing critical/complex data escalations to resolution. Effectively communicate findings and resolutions with providers and internal departments inclusive of collaboration with cross-functional stakeholders.

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.

Sarasota, Florida17 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.

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.

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.

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.

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.

New!

Sarasota, FL6 days ago

Remote

$77,000–$143,000 Per Year

Novartis Compensation Summary:The salary for this position is expected to range between:Associate Territory Account Specialist: $77,000 and $143,000 per yearTerritory Account Specialist: $93,800 and $174,200 per yearSenior Territory Account Specialist: $119,700 and $222,300 per yearExecutive Territory Account Specialist: $132,300 and $245,700 per yearThe final salary offered is determined based on factors like, but not limited to, relevant skills and experience, and upon joining Novartis will be reviewed periodically. 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.

New!

Fort Lauderdale, FL6 days ago

Remote

$77,000–$143,000 Per Year

Fort Lauderdale, FL10 days ago

Remote

$77,000–$143,000 Per Year

Lakeland, Florida10 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 HRCM patient collections notes and on the collections daily work sheet and sends completed sheet to Collections Supervisor .

New!

Jacksonville, FL4 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.

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.

Jacksonville, 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.

Hollywood, FL30+ days ago

Education and Certification Requirements: Masters (Required) Dietitian/Nutritionist License (ND LICENSE) - State of Florida (FL), Registered Dietitian CDR Certification (CDR) - Commission on Dietetic Registration (CDR) Additional Job Information: Complexity of Work: Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Other Information: Must have one (1) of the following specialist certifications: Certified Nutrition Support Clinician (CNSC) or Certified Specialist in Pediatric Critical Care Nutrition (CSPCCN) or Certified Specialist in Pediatrics (CSP) or CDR Advanced Practitioner (AP) or other certification from ASPEN; CDR or other nutrition credentialing agency.

New!

Margate, FL2 days ago

As a Medical Records Specialist, you would be responsible for assisting the HIM Director by routinely performing duties in support of the management of the Horizon Patient Folder (HPF)/McKesson Patient Folder (MPF) workflow queues, working applicable worklists within 3M 360 Encompass, the resolution of unbilled accounts, and the processing of physician suspensions. Completes any certification program and continuing education that may be required by state law to accurately perform the duties of the birth certificate clerk completion and works under the guidelines and process as defined by the state.

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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 TravelNurseSource

Travel Nurse RN - Case Manager - $1,986 per week in Brooksville, FL TravelNurseSource

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

Travel Nurse RN - Case Manager - $1,933 per week in Fort Walton Beach, FL TravelNurseSource

Travel Nurse RN - Case Manager - $1,987 per week in Coconut Creek, FL TravelNurseSource

Contracting & Credentialing Specialist Sunrise Group

Credentialing Specialist (Medical Staff) Full Time University Health Services Inc

Credentialing and Enrollment Specialist Dental Care Alliance

Credentialing Specialist Elevate ENT Partners

Healthcare Credentialing Specialist Pinnacle Wound Management

Credentialing Specialist Palm Careers

Credentialing Specialist WFH HCA Healthcare

Credentialing Specialist Northern Light Radiology Associates, Inc

Credentialing Specialist Florida Medical Clinic

Credentialing Specialist Orlando Health

Credentialing Specialist Bayfront Health

Provider Enrollment & Credentialing Specialist Pinnacle Wound Management

Credentialing Specialist Leslie Prince

Provider Credentialing Specialist TriWest Healthcare Alliance

Credentialing Specialists Armada Ltd

Credentialing Specialist Sage Dental

Credentialing Specialist Orlando Health Ventures

Medical Credentialing Clerk, Jacksonville, FL ASP Web Solutions

(Remote) Provider Contracting & Credentialing Coordinator The Recovery Village

Senior Analyst, Credentialing Operations Oscar Health

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

Provider Program Manager (Provider Credentialing Required) TriWest Healthcare Alliance

Talent Onboarding Specialist Sarasota Memorial Health Care System

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

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

Insurance Verification Specialist Mindful Behavioral Healthcare

Specialist, Provider Data Operations Oscar Health

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

Dermatology Territory Account Specialist - Sarasota / Clearwater Novartis AG

Dermatology Territory Account Specialist - Fort Lauderdale Novartis AG

Rheumatology Territory Account Specialist - Fort Lauderdale Novartis AG

Medical Billing & Collections Specialist Paid Intern Rotech Healthcare Inc.

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

Reimbursement Specialist PRN Sarasota Memorial Health Care System

Reimbursement Specialist II Sarasota Memorial Health Care System

Clinical Application Specialist Sentec

Dietitian Specialist - Pediatric Gastroenterology - FT - Days - JDCH South Broward Hospital District

Medical Records Specialist HCA Healthcare

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