- Location
- Jacksonville, Florida, United States · published
- Workplace
- Remote
- Type
- Full-time
- Source
- Workable
Description
Credentialing Specialist | Full-Time | Remote
Join Our Team at H2 Health!
H2 Health is seeking a detail-oriented and highly organized Credentialing Specialist to join our team in a full-time, remote position!
In this role, you will support our growing healthcare organization by coordinating provider credentialing, insurance payer enrollments, and recredentialing processes. You'll help ensure our physical, occupational, and speech therapy providers maintain accurate and up-to-date credentials so they can continue delivering exceptional patient care.
We're looking for someone who thrives in a detail-driven environment, takes initiative, and enjoys collaborating with clinicians and internal teams.
Responsibilities
- Coordinate provider and facility credentialing, recredentialing, and enrollment processes with insurance payers, including Medicare, Medicaid, and commercial insurance plans.
- Review credentialing information available through Medallion, verifying provider details, credentialing status, and supporting documentation for accuracy and completeness.
- Maintain and update provider profiles in the Council for Affordable Quality Healthcare (CAQH) system, including required attestations and supporting documentation.
- Assist clinicians with National Provider Identifier (NPI) applications and updates.
- Monitor professional licenses, certifications, expiration dates, and other required credentialing documentation.
- Ensure newly hired providers are added to applicable insurance payer rosters and terminated providers are removed as required.
- Track credentialing applications, renewals, outstanding documentation, and payer enrollment status to support timely completion.
- Communicate with clinicians, insurance representatives, and internal departments to obtain information and resolve credentialing discrepancies.
- Assist clinicians with fingerprinting and other documentation required for credentialing.
- Maintain confidential, accurate, and organized credentialing records in accordance with applicable regulations and company policies.
- Support additional administrative and compliance-related tasks as needed.
Benefits
Medical, dental, and vision insurancePaid time off (PTO) and paid holidays401(k) retirement planProfessional development and growth opportunitiesA collaborative and supportive team environmentFull-time remote work