Credentialing Specialist

About us

The Cardiovascular Center of Florida is a small business in Ocala, FL. We are professional, agile and our goal is to Welcome to the Cardiovascular Institute of Central Florida, where our team of experienced, board-certified cardiologists is dedicated to providing top-notch care using the latest technological advancements in cardiology. With clinics conveniently located in Ocala and The Villages, we offer a wide range of cardiology services tailored to meet your needs..

Our work environment includes:

• Modern office setting
• Food provided

Our Credentialing Specialist plays a crucial role in ensuring that healthcare professionals within an organization meet all necessary qualifications, certifications, and regulatory requirements. This position involves overseeing the credentialing process for medical staff, managing a team of credentialing specialists, and collaborating with various departments to maintain compliance and uphold the highest standards of quality and patient safety.

Duties:

• Credentialing Process Management:
• Oversee the end-to-end credentialing process for medical staff, including physicians, nurses, allied health professionals, and other relevant personnel.
• Develop and implement efficient credentialing workflows, ensuring accuracy and adherence to established protocols.
• Review and evaluate credentialing applications, verifying information, licenses, certifications, references, and other pertinent documentation.
• Stay current with industry regulations, standards, and best practices related to credentialing and privileging.
• Ensure that all credentialing activities are in line with federal, state, and local regulations, as well as accrediting bodies' requirements.
• Database Management:
• Use credentialing software and databases to maintain accurate records of medical-staff credentials, licensures, certifications, prefilling insurance applications, tracking progress, and other relevant information.
• Generate reports and analytics to track and monitor contracting and credentialing processes and compliance metrics.
• Education
• Bachelor's degree in Healthcare Administration, Business Administration, or a related field.
• Several years of experience in healthcare credentialing, with at least 2-3 years in a supervisory or leadership role.
• In-depth knowledge of credentialing processes, regulatory requirements, and healthcare industry standards.

Job Type: Full-time

Pay: $55,000.00 - $65,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• Day shift
• Monday to Friday

Work Location: In person