Credentialing Specialist

Role Overview

The Heart Institute of Venice is seeking a detail-oriented and experienced Credentialing Specialist to join our growing team. This role is responsible for managing provider credentialing and recredentialing processes to ensure compliance with regulatory and payer requirements.

What You Will Do

Manage end-to-end credentialing and recredentialing of healthcare providers, prepare and submit credentialing applications, maintain accurate provider records, and ensure compliance with CMS, NCQA, and state-specific credentialing guidelines.

Why It Might Be a Fit

The ideal candidate will have strong knowledge of U.S. healthcare credentialing procedures, excellent organizational skills, and experience working in a remote environment.

Requirements

• Proven experience in U.S. healthcare credentialing (minimum 2 years preferred)
• Strong understanding of payer enrollment processes (Medicare, Medicaid, and commercial payers)
• Experience with CAQH, PECOS, and NPPES systems
• Excellent attention to detail and organizational skills
• Strong written and verbal communication skills
• Ability to work independently in a remote environment

Benefits

• Bonus based on performance
• Training & development
• Competitive salary based on experience
• Supportive and collaborative team culture
• Opportunities for professional growth

Originally posted on Himalayas