Credentialing Specialist

Job Description

Job Description

Join a growing, patient-focused ENT practice where your expertise makes a real impact.

We are a well-established and expanding Ear, Nose & Throat (ENT) medical group seeking a detail-oriented and proactive Credentialing Specialist to join our administrative team. This role is critical to ensuring our providers are credentialed, compliant, and able to focus on what they do best—delivering exceptional patient care.

What You’ll Do

• Manage end-to-end provider credentialing and re-credentialing with insurance payers, hospitals, and facilities

• Prepare, submit, and track credentialing applications accurately and efficiently

• Maintain provider files to ensure compliance with payer, regulatory, and accreditation requirements

• Serve as a point of contact with payers, providers, and internal teams regarding credentialing status

• Monitor expiration dates for licenses, certifications, DEA registrations, and enrollments

• Support new provider onboarding and expansions within the practice

What We’re Looking For

• Proven experience in medical credentialing (ENT or specialty practice experience a plus)

• Strong knowledge of payer enrollment processes, CAQH, and credentialing timelines

• Exceptional attention to detail and organizational skills

• Ability to manage multiple priorities in a fast-paced healthcare environment

• Professional communication skills and a collaborative mindset

Why Join Us

• Work with a respected ENT group committed to quality and growth

• Be part of a supportive, collaborative administrative team

• Competitive compensation based on experience

• Opportunity to contribute to streamlined processes and practice expansion

• Stable, professional environment with long-term growth potential

Abilities Required

• Minimum 3 years’ experience in the credentialing field
• CPCS (Certified Provider Credentialing Specialist) preferred
• Proficient with Microsoft Applications (Word, Excel, Outlook) and Windows
• Strong data entry skills
• Professional written and spoken communication skills
• Working knowledge of Credential My Doc Software (will be taught)
• High level of attention to detail
• Ability to handle multiple documents pertaining to several providers at once
• Applying complex, detailed guidelines in the preparation and review of all applications to ensure compliance with CMS, state regulations, NCQA and internal procedures and protocols
• Excellent time management skills to handle multiple tasks simultaneously
• Demonstrated ability to work independently and prioritize work
• Team orientation & flexibility in accepting change

AAP/EEO Statement
In order to provide equal employment and advancement opportunities to all individuals, employment decisions will be based on qualifications and job related abilities. We do not discriminate in employment opportunities or practices on the basis of race, color, religion, sex, national origin, age, disability, ancestry, sexual orientation, marital status, gender identity or any other characteristic protected by law. We will make reasonable accommodations for qualified individuals with known disabilities unless doing so would result in undue hardship.

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