Credentialing Specialist - Remote

Blue Cloud • Tallahassee, FL

11d • Remote

About The Position

Blue Cloud is hiring a full-time, remote Credentialing Specialist to coordinate and manage credentialing and re-credentialing for healthcare providers at its pediatric surgery centers. The role ensures providers meet regulatory, accreditation, and organizational requirements and that credentialing records remain accurate and current. The specialist works with providers, leadership, and internal departments to support compliance and operational excellence. Reasonable accommodation may be provided to enable individuals with disabilities to perform the essential functions.

Blue Cloud is the nation’s largest pediatric Ambulatory Surgery Center company, specializing in dental restorative and exodontia procedures for pediatric and special needs patients under general anesthesia. Its mission is to provide safe, high-quality, accessible care while helping reduce costs for families and payors. The company describes its vision as leading in safety and quality for pediatric dental patients receiving care in a surgery center environment.

Requirements

• High school diploma, GED, or equivalent.
• Proficiency in Microsoft Office, including Word and Excel.
• Ability to navigate online resources and web-based systems.
• Knowledge of medical credentialing and privileging procedures and standards.
• Strong organizational and time management skills.
• Ability to prioritize and manage multiple tasks.
• Exceptional attention to detail and accuracy.
• Strong problem-solving skills.
• Excellent written and verbal communication skills.
• Ability to work independently.
• Ability to maintain confidentiality.

Nice To Haves

• At least one year of credentialing or related healthcare administrative experience.
• Experience with credentialing software.
• Knowledge of accreditation standards.

Responsibilities

• Coordinate initial credentialing and re-credentialing for new and existing providers.
• Collect, review, and verify required provider documentation.
• Conduct primary and secondary source verifications.
• Identify discrepancies and follow up to resolve issues.
• Monitor and track provider licenses, certifications, and expiring documents.
• Maintain provider and facility records within credentialing software systems.
• Assist providers with licensing and credentialing inquiries.
• Ensure compliance with applicable regulations, standards, policies, and procedures.
• Maintain organized electronic provider and facility files.
• Provide timely follow-up on outstanding credentialing items and renewal requirements.

Benefits

• Comprehensive health insurance coverage.
• Flexible Spending Accounts (FSA).
• Health Savings Accounts (HSA).
• Disability insurance and a variety of voluntary benefit options.
• Competitive 401(k) retirement plan with company matching contributions.
• Generous Paid Time Off (PTO) program.
• Fully remote and predictable schedule with no on-call responsibilities, weekends, or holiday shifts.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED