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Elevate ENT Partners · 3 days ago

Credentialing Specialist

Miami Lakes, FL

Full-time

Onsite

Mid Level

3+ years exp

Elevate ENT Partners is a growing, patient-focused ENT practice seeking a detail-oriented Credentialing Specialist to join their administrative team. This role is critical to ensuring providers are credentialed, compliant, and focused on delivering exceptional patient care.

Health CareMedicalTraining

Responsibilities

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

Qualification

Medical credentialingPayer enrollment processesCPCS certificationCredential My Doc SoftwareMicrosoft ApplicationsProfessional communicationAttention to detailTime management

Required

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

Minimum 3 years' experience in the credentialing field

Proficient with Microsoft Applications (Word, Excel, Outlook) and Windows

Strong data entry skills

Professional written and spoken communication skills

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