Medical Credentialing Specialist

Healthcare Coding And Consulting Svcs•Fort Myers, FL

2d•Remote

About The Position

Healthcare Coding & Consulting Services (HCCS) is seeking an experienced Credentialing Specialist to join our growing team. This is a fully remote, part-time opportunity for a credentialing professional who is highly organized, detail-oriented, and experienced in managing provider credentialing across multiple healthcare facilities. At HCCS, we are committed to providing long-term career stability in a collaborative, family-owned environment. Every member of our team is a direct-hire W-2 employee who plays an important role in supporting the healthcare organizations we serve. We proudly keep our operations within the United States and are dedicated to delivering exceptional service through experienced professionals. If you have a strong background in provider credentialing and enjoy managing multiple priorities while maintaining accuracy and compliance, we encourage you to apply.

Requirements

Minimum of two (2) years of provider credentialing experience in a healthcare setting.
High school diploma or equivalent required.
Working knowledge of NCQA, CMS, and Joint Commission credentialing standards.
Experience with payer enrollment and provider credentialing processes.
Proficiency with Microsoft Office and credentialing platforms such as CAQH and MD-Staff.
Excellent organizational, communication, and problem-solving skills.
Ability to manage multiple priorities while meeting deadlines in a remote work environment.

Nice To Haves

Associate's or Bachelor's degree in Healthcare Administration or a related field preferred.
Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) certification.
Experience credentialing providers across multiple facilities or healthcare organizations.

Responsibilities

Manage the credentialing and recredentialing process for approximately 132 providers across 12 healthcare facilities.
Verify provider licensure, certifications, education, work history, malpractice coverage, and other required documentation.
Prepare and submit credentialing, recredentialing, payer enrollment, and hospital privilege applications.
Maintain accurate provider records and credentialing databases.
Monitor expiration dates and coordinate timely renewals to maintain compliance.
Communicate with providers, payers, and facility administrators to resolve credentialing issues and obtain required documentation.
Ensure compliance with NCQA, CMS, Joint Commission, payer, and organizational standards.
Generate reports and maintain organized workflows to support credentialing operations.