Credentialing Specialist/Payer Enrollment
About the position We are seeking a detail‑driven Credentialing Specialist to support the accurate and timely credentialing of providers in a remote environment . This role plays a critical part in ensuring compliance with accreditation standards, regulatory agencies, and organizational policies—helping our providers focus on what matters most: patient care. The ideal candidate is highly organized, thrives in a compliance‑focused role, communicates clearly, and can manage multiple priorities under pressure while working independently. About Baptist Health Medical Group Baptist Health Medical Group is a physician-led group established on a foundation of compassionate care and clinical excellence. Guided by this commitment to compassion and excellence, our teams of physicians, advanced practice professionals, nurses, clinicians and office staff work together to meet every patient’s total healthcare needs. As part of Baptist Health’s extensive network of comprehensive healthcare services, Baptist Health Medical Group is committed to providing the community easy access to integrated care. Our expansive range of practices offer close-to-home locations and convenient appointment options. Providing expert care in over 18 areas of focus — from primary care to specialty institutes — Baptist Health Medical Group includes more than 600 physicians and advanced practice professionals. Health Offers Great NEW Competitive Pay and Great Benefits Package that Includes: Medical, Dental, Vision 403(b) Retirement Savings Plan Health Savings Account (HSA) Flexible Spending Account (FSA) Paid Time Off (up to 5 weeks to start) Life Insurance Extended Leave Plan (ELP) Family Care (childcare, elder care, pet care) Paid Parental Leave Pet Insurance Car Insurance Educational Benefits including tuition reimbursement & monthly payments to help pay down any graduated school debt ALL BENEFITS START DAY ONE Orlando Health | Choose Well
Responsibilities
- Performing timely and accurate primary source verification
- Completing accurate and timely data entry of all credentialing activities into the credentialing database
- Coordinating credentialing, recredentialing, and delegated credentialing activities
- Maintaining credentialing files and documentation in compliance with accreditation and regulatory standards
- Providing excellent customer service and ongoing communication to providers, physician office staff, and internal teams
- Educating providers on the credentialing process and maintaining consistent follow‑up
- Identifying trends, assisting with performance improvement initiatives, and supporting reporting efforts
- Ensuring compliance with organizational policies, bylaws, and government regulations
Requirements
- 3 years of credentialing/privileging experience , or 1 year of credentialing experience plus 2 years of clinical experience
- Relevant education may substitute for experience (Associate or Bachelor’s degree in healthcare, business, or related field)
- Excellent verbal and written communication
- Strong attention to detail and accuracy
- High level of organization and time‑management skills
- Ability to work well under pressure and manage multiple priorities
- Data entry proficiency and comfort working in credentialing systems
- Knowledge of compliance, accreditation, and regulatory standards
- Adaptability in a remote work environment
- High school diploma or equivalent required
- Knowledge of medical terminology preferred
Benefits
- Medical
- Dental
- Vision
- 403(b) Retirement Savings Plan
- Health Savings Account (HSA)
- Flexible Spending Account (FSA)
- Paid Time Off (up to 5 weeks to start)
- Life Insurance
- Extended Leave Plan (ELP)
- Family Care (childcare, elder care, pet care)
- Paid Parental Leave
- Pet Insurance
- Car Insurance
- Educational Benefits including tuition reimbursement & monthly payments to help pay down any graduated school debt
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