Benefits:

Bonus based on performance

Training & development

Job Title: Remote Credentialing Specialist Company: The Heart Institute of Venice Location: Remote (U.S. Healthcare Experience Required) Position Type: Full-Time / Part-Time

Overview: The Heart Institute of Venice is seeking a detail-oriented and experienced Credentialing Specialist to join our growing team. This role is responsible for managing provider credentialing and recredentialing processes to ensure compliance with regulatory and payer requirements. The ideal candidate will have strong knowledge of U.S. healthcare credentialing procedures and excellent organizational skills.

Key Responsibilities:

Manage end-to-end credentialing and recredentialing of healthcare providers (physicians, APRNs, and allied health professionals)

Prepare and submit credentialing applications to insurance payers, hospitals, and regulatory bodies

Maintain accurate and up-to-date provider records in credentialing databases

Track application statuses and follow up with payers to ensure timely approvals

Ensure compliance with CMS, NCQA, and state-specific credentialing guidelines

Coordinate with internal departments (HR, billing, and compliance) for provider onboarding

Monitor and manage expiable documents such as licenses, DEA certificates, malpractice insurance, and board certifications

Assist with audits and maintain credentialing files in accordance with organizational standards

Requirements (Mandatory):

Proven experience in U.S. healthcare credentialing (minimum 2 years preferred)

Strong understanding of payer enrollment processes (Medicare, Medicaid, and commercial payers)

Experience with CAQH, PECOS, and NPPES systems

Excellent attention to detail and organizational skills

Strong written and verbal communication skills

Ability to work independently in a remote environment

Preferred Qualifications:

CPCS (Certified Provider Credentialing Specialist) certification is a plus

Experience working with cardiology or specialty practices

Familiarity with credentialing software and EMR systems

Benefits:

Competitive salary based on experience

Supportive and collaborative team culture

Opportunities for professional growth

How to Apply: Interested candidates are encouraged to submit their updated resume along with a brief cover letter outlining their credentialing experience.

This is a remote position.