Insurance Credentialing Specialist

Job Description

Job Description

Job Title: Insurance Credentialing Specialist

Status: Exempt- Full-Time (On-site)

Location: Tampa, FL

Company Overview

Blackstone Medical Services is a leader in healthcare services, specializing in at-home sleep testing for sleep apnea. Our mission is to provide exceptional service to our clients while ensuring compliance and efficiency in all operations.

Summary

We are seeking a Credentialing Specialist to join our team at Blackstone Medical Services. In this role, you will be responsible for pursuing and initiating new healthcare contracts for a national sleep testing facility, maintaining current contracts, and ensuring compliance with industry standards and regulations.

Responsibilities

• Oversee the credentialing process for new and existing health plans.
• Verify provider credentials, including education, training, and licensure.
• Maintain accurate records and documentation of all credentialing activities.
• Ensure compliance with federal and state regulations as well as organizational policies.
• Collaborate with medical staff and administrative teams to facilitate timely credentialing.
• Monitor expiration dates of licenses and certifications to ensure ongoing compliance.

Requirements

• Proven experience in managed care or medical credentialing preferred.
• Strong understanding of medical terminology and healthcare standards.
• Excellent organizational skills with attention to detail.
• Ability to communicate effectively with diverse stakeholders.
• Experience in a medical office setting is a plus.

If you are passionate about ensuring quality in healthcare services and have the skills to excel as a Credentialing Specialist, we invite you to apply today and become part of our dedicated team at Blackstone Medical Services!

EEO Statement

Blackstone Medical Services is an Equal Employment Opportunity Employer. We are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and employees without regard to race, color, religion, sex, pregnancy, national origin, age, physical and mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information, military and veteran status, and any other characteristic protected by applicable law.