Medical Provider Credentialing Specialist

Full-Time | In-Office Position
Location: Orange Park- Corporate Office 

A growing multi-specialty medical practice Coastal Health in Orange Park is seeking an experienced Provider Credentialing Specialist to join our team. This is a full-time, in-office position supporting both primary care and specialty medical providers.

Responsibilities

• Manage provider credentialing and re-credentialing processes
• Maintain provider enrollment with commercial insurance plans, Medicare, and Medicaid
• Track credentialing expirations and renewals
• Ensure compliance with payer and regulatory requirements
• Communicate with insurance carriers and providers regarding credentialing status
• Maintain accurate provider records and documentation
• Assist with onboarding new providers

Qualifications

• Previous experience with medical provider credentialing required
• Experience working in a multi-specialty medical office preferred
• Knowledge of Medicare, Medicaid, and commercial payer enrollment processes
• Strong organizational and communication skills
• Ability to manage multiple deadlines and follow-up tasks
• Proficient in EMR/EHR systems and Microsoft Office

Position Details

• Full-Time
• Monday–Friday
• In-Office Only (Not Remote)
• Full benefits

Requirements

• Proficiency in Microsoft Office software (Word, Excel, and Outlook)
• Excellent verbal communication skills, and the ability to communicate effectively with physicians
• Maintain high levels of organization while being detail oriented
• Capable of meeting time-sensitive deadlines
• Ability to prioritize tasks efficiently and effectively
• Capable of working independently

Experience:

• Medical Credentialing: 2 years (Preferred)
• Provider Enrollment: 2 years (Preferred)
• Payer experience (Required)
• Experience in a multi-specialty setting (Preferred)

Education:

• High school Diploma or equivalent (Required)