Credentialing Specialist

Rockledge, FL
Full Time
Entry Level

Job Title: Credentialing Specialist

Location: Hybrid/Corporate Office, Rockledge, FL

FLSA: Hourly Non-exempt

Are you ready to play a key role in shaping the healthcare workforce of tomorrow? Luke & Associates Inc. is seeking an enthusiastic and detail-oriented Credentialing Specialist to join our fast-paced and dynamic team. This is a fantastic opportunity for individuals who are passionate about making an impact in the healthcare industry while working in a supportive, collaborative environment.

Why You'll Love This Role:

As a Credentialing Specialist, you’ll be at the heart of ensuring healthcare professionals are qualified and ready to make a difference. You’ll have the chance to engage with cutting-edge credentialing processes, work directly with healthcare practitioners, and make sure everything is in place to support their success. If you enjoy problem-solving, attention to detail, and making a tangible impact, this is the role for you!

Preferred Qualifications:

  • High School Diploma (Associate's degree preferred)
  • Minimum of 1 year of credentialing experience in a healthcare setting (experience in practitioner insurance enrollment, medical staff or government contractor healthcare credentialing is a plus)
  • Familiarity with credentialing processes, policies, and procedures
  • Experience in a healthcare environment (physician office or hospital) is beneficial, with a willingness to learn credentialing processes
  • Knowledge of the Joint Commission standards
  • Exceptional critical thinking, judgment, and communication skills
  • Proficiency in Microsoft Office, Excel, internet search tools, and research techniques
  • Experience with PDF software (Adobe, Foxit, or other) is a plus

Core Duties & Responsibilities:

  • Perform the initial credentialing for healthcare workers, reviewing resumes and qualifications to ensure alignment with job descriptions
  • Primary source verification of medical licensure, education, employment, DEA status, and NPDB queries (training available for the right candidate)
  • Initiate background checks and drug screens, reporting any derogatory findings to the manager
  • Assist applicants with completing necessary DoD forms accurately
  • Monitor expiring licenses, certifications, and other documents, assisting practitioners with renewals and escalating issues when needed
  • Track and report the progress of credentialing activities for healthcare workers
  • Adhere to policies and procedures ensuring timely delivery of completed work
  • Identify and resolve discrepancies, time gaps, and other issues that may affect the credentialing process
  • Perform other duties as assigned to support the credentialing team

Special Requirements & Skills:

  • Ability to manage multiple tasks and reprioritize on short notice
  • Strong teamwork, time management, and adaptability skills
  • Ability to meet deadlines in a fast-paced, deadline-driven environment
  • Flexibility and comfort in working with a variety of personalities and adapting to changing environments

Equal Opportunity Employer Statement:

Luke & Associates Inc. is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.

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