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Credentialing Specialist 1

BCforward is currently seeking a highly motivated Credentialing Specialist 1for an opportunity in Remote in FL

Position Title: [Credentialing Specialist 1]

Location: [Remote - FL]

Anticipated Start Date: [ASAP]

Expected Duration: [06 Months]

Job Type: [FULL TIME (>%3D30 HRS WEEKLY) [TEMP TO HIRE], [REMOTE]

Pay Range:[25.00] - [28.00]

Please note that vigente compensation may vary within this range due to factors such as location, experience, and job responsibilities, and does not encompass additional non-standard compensation (e.g., benefits, paid time off, per diem, etc.).

Requirements:
- [1+ year of experience in data entry, customer service, medical office administration, provider data management, or healthcare operations (claims, billing, credentialing, etc.)
- NAMSS Credentialing Certification
- Familiarity with NCQA standards

Position Summary:
The Credentialing Specialist I is responsible for performing credentialing and re-credentialing activities for individual, facility, and/or ancillary providers across the state of Florida.



This includes verifying provider data, collecting documentation, and ensuring compliance with NCQA and internal standards. The role supports timely provider onboarding to maintain quality healthcare access for members.

Key Responsibilities:
- Perform provider credentialing/re-credentialing tasks in compliance with NCQA standards.
- Verify and maintain provider information for network, individual, facility, and ancillary providers.
- Communicate professionally with physicians, office managers, certification agencies, training programs, and other stakeholders to obtain or clarify credentialing documents.
- Monitor disciplinary actions and ensure proper documentation is filed.
- Maintain accuracy of credentialing databases and systems.
- Organize and submit cases for Credentialing Committee review, and assist with preparation of binders and post-meeting documentation.
- Manage internal SharePoint and S

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📌 Credentialing Specialist 1 (La Florida)
🏢 BCforward
📍 La Florida