What are the responsibilities and job description for the Credentialing specialist position at Complere Credentialing LLC?
Company Description
Complere Credentialing is a trusted healthcare operations partner specializing in medical credentialing, primary source verification, provider enrollment, and revenue cycle support. With over 30 years of industry expertise, we provide accurate and efficient solutions to ensure providers remain compliant, audit-ready, and properly enrolled. By simplifying credentialing and enrollment processes, we help prevent claim denials, accelerate reimbursements, and enable healthcare organizations to focus on delivering exceptional patient care.
Role Description
This is a full-time, on-site role for a Credentialing Specialist based in Deltona, FL. The Credentialing Specialist will manage the credentialing and primary source verification processes for healthcare providers, ensuring compliance with industry standards and payer requirements. Responsibilities include reviewing and submitting credentialing applications, maintaining accurate records, corresponding with providers and stakeholders, and addressing inquiries related to credentialing and provider enrollment. The role requires attention to detail and strong communication with internal teams and external organizations.
Qualifications
- Experience with Credentialing and Medical Staff Credentialing processes
- Strong Communication and Customer Service skills
- Familiarity with Medicare-related credentialing and provider enrollment
- Attention to detail and ability to ensure compliance with regulatory requirements
- Proficiency with credentialing software and a basic understanding of healthcare operations is a plus
- Ability to effectively manage multiple tasks and meet deadlines
- High school diploma or equivalent required; an associate’s or bachelor’s degree in a related field is preferred