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Credentialing Specialist Part Time
Credentialing Specialist Part TimeMeta Care Inc • Clearwater, FL, US
No longer accepting applications
Credentialing Specialist Part Time

Credentialing Specialist Part Time

Meta Care Inc • Clearwater, FL, US
18 days ago
Job type
  • Part-time
Job description

Job Description

Job Description

Part-Time Provider Credentialing Specialist

Location : Remote (U.S.)

Type : Part-Time | Flexible Hours

About the Role :

We are seeking an experienced Provider Credentialing Specialist to join our growing team. The ideal candidate will have a strong background in multi-state credentialing, with specific experience credentialing for Primary; Cardiology, Dental, and Anesthesia providers. This role requires exceptional attention to detail, accuracy, and the ability to work independently while managing multiple provider files across various payors and states.

Responsibilities :

  • Complete provider credentialing and recredentialing applications for multiple specialties, including Cardiology, Dental, and Anesthesia.
  • Navigate and comply with state-specific Medicaid and Medicaid MCO credentialing requirements.
  • Maintain accurate records of provider files, applications, and payer correspondence.
  • Follow up with payors, providers, and internal teams to ensure timely completion of all credentialing processes.
  • Interpret and apply plan-specific rules and state requirements for credentialing in each assigned region.
  • Support ongoing growth—currently managing credentialing for 11 states, 26 providers, and 141 locations (and expanding).
  • Manage and track all work using an excel spreadsheet.

Qualifications :

  • Minimum 5 years of experience in provider credentialing (multi-state preferred).
  • In-depth knowledge of CAQH , PECOS , NPPES , and commercial payor platforms.
  • Proven experience with Medicaid and Medicaid Managed Care Organizations (MCOs).
  • Strong understanding of payer enrollment processes for both commercial and government plans.
  • Excellent organizational skills and follow-up practices.
  • Self-motivated, detail-oriented, and able to work independently.
  • Experience with Cardiology, Dental, or Anesthesia credentialing is highly preferred.
  • Experience using Excel and knowing how to create pivot tables and organize; track and follow up on all providers using this type of platform.
  • CPCS (Certified Provider Credentialing Specialist) preferred but not required.
  • Schedule & Compensation :

  • Part-time (flexible schedule; remote work)
  • Competitive hourly rate based on experience
  • How to Apply :

    To apply, please submit your resume and a cover letter highlighting your relevant experience and send to :    cspiegel@metacareusa.com

    NOTE :   YOUR APPLICATION WILL NOT BE REVIEWED WITH A RESPONSE IF, I DO NOT RECEIVE A COVER LETTER WITH YOUR RESUME UPLOADED.

  • IF YOU ARE NOT IN ONE OF THE 50 STATES IN THE US I WILL NOT REVIEW YOUR RESUME.
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    Credentialing Specialist • Clearwater, FL, US

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