Credentialing Specialist

Baptist Health•Orlando, FL

2d•Remote

About The Position

The Credentialing Specialist supports accurate and timely credentialing of providers in a fully remote environment. The role manages end-to-end credentialing activities and helps ensure compliance with accreditation standards, regulatory agencies, organizational policies, and bylaws. It requires strong organization, clear communication, independent work, and the ability to manage multiple priorities under pressure while providing service to providers and internal and external stakeholders. Baptist Health Medical Group is a physician-led group whose teams work together to meet patients’ healthcare needs. It provides access to integrated care through practices spanning more than 18 areas of focus and includes more than 600 physicians and advanced practice professionals. The position is full-time, with a weekday schedule of 8:00 AM to 5:00 PM CT.

Requirements

At least 3 years of credentialing/privileging experience, or 1 year of credentialing experience plus 2 years of clinical experience; relevant education may substitute for experience.
High school diploma or equivalent.
Excellent verbal and written communication skills.
Strong attention to detail and accuracy.
Strong organization and time-management skills.
Ability to work under pressure and manage multiple priorities.
Data-entry proficiency and comfort working in credentialing systems.
Knowledge of compliance, accreditation, and regulatory standards.
Adaptability in a remote work environment.

Nice To Haves

Associate or bachelor’s degree in healthcare, business, or a related field may substitute for experience.
Knowledge of medical terminology.

Responsibilities

Perform timely and accurate primary source verification.
Enter credentialing activities accurately and promptly into the credentialing database.
Coordinate credentialing, recredentialing, and delegated credentialing activities.
Maintain credentialing files and documentation in accordance with accreditation and regulatory standards.
Provide customer service and ongoing communication to providers, physician office staff, and internal teams.
Educate providers about the credentialing process and maintain consistent follow-up.
Identify trends, assist with performance improvement initiatives, and support reporting efforts.
Ensure compliance with organizational policies, bylaws, and government regulations.

Benefits

Medical, dental, and vision insurance.
403(b) retirement savings plan.
Health Savings Account (HSA).
Flexible Spending Account (FSA).
Paid time off, up to five weeks to start.
Life insurance.
Extended Leave Plan (ELP).
Family care benefits for childcare, elder care, and pet care.
Paid parental leave.
Pet insurance.
Car insurance.
Educational benefits, including tuition reimbursement and monthly payments to help pay down graduate school debt.
Benefits start on day one.