Credentialing Specialist

To support managed care operations, the full-time Credentialing Specialist Florida will conduct internal file audits, manage credentialing databases, and ensure compliance with regulatory standards while working fully remote. Key responsibilities Assist with managed care delegated credentialing audits and conduct internal file audits Monitor the credentialing process for employed physicians and allied health professionals, ensuring compliance with medical staff bylaws and policies Prepare credentials files for presentation to credentialing committees and respond to inquiries regarding credentialing and privileging issues Required qualifications High School Diploma or equivalent required; Associate's degree preferred in Healthcare Administration, Business, or a related field Minimum of 1 year of administrative support experience in a healthcare setting required Knowledge of medical credentialing and privileging procedures and standards Proficiency in Microsoft Office Suite (Word, Excel, Outlook) Ability to conduct thorough background investigations and primary source verifications