Credentialing Specialist

Meta Care Inc • Clearwater, FL

2d • $21 - $23 • Remote

About The Position

We are seeking an experienced Provider Credentialing Specialist to join our growing team. The ideal candidate will have a strong background in multi-state credentialing, with specific experience credentialing for Primary; Cardiology, Dental, and Anesthesia providers. This role requires exceptional attention to detail, accuracy, and the ability to work independently while managing multiple provider files across various payors and states.

Requirements

• Minimum 5 years of experience in provider credentialing (multi-state preferred).
• In-depth knowledge of CAQH, PECOS, NPPES, and commercial payor platforms.
• Proven experience with Medicaid and Medicaid Managed Care Organizations (MCOs).
• Strong understanding of payer enrollment processes for both commercial and government plans.
• Excellent organizational skills and follow-up practices.
• Self-motivated, detail-oriented, and able to work independently.
• Experience using Excel and knowing how to create pivot tables and organize; track and follow up on all providers using this type of platform.

Nice To Haves

• Experience with Cardiology, Dental, or Anesthesia credentialing is highly preferred.
• CPCS (Certified Provider Credentialing Specialist) preferred but not required.

Responsibilities

• Complete provider credentialing and recredentialing applications for multiple specialties, including Cardiology, Dental, and Anesthesia.
• Navigate and comply with state-specific Medicaid and Medicaid MCO credentialing requirements.
• Maintain accurate records of provider files, applications, and payer correspondence.
• Follow up with payors, providers, and internal teams to ensure timely completion of all credentialing processes.
• Interpret and apply plan-specific rules and state requirements for credentialing in each assigned region.
• Support ongoing growth—currently managing credentialing for 11 states, 26 providers, and 141 locations (and expanding).
• Manage and track all work using an excel spreadsheet.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed