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Remote Credentialing Auditor Jobs in Florida (NOW HIRING)

Sage Dental

Credentialing Specialist

Boca Raton, FL · On-site +1

Overview Sage is looking for a Delegated Credentialing Specialist (Remote) to join our team! The ... Prepare and Present provider files for internal and external auditing. * Upload and update the ...

Trinity Health

Analyst Charge-RIO (Remote)

Tampa, FL · Remote

$21.52 - $32.28/hr

Responsible for auditing of department information, producing reports & suggesting improvements to ... RHIA, RHIT, CCS, CPC/COC, AAPC or other coding credentials and/or Licensed Vocational Nurse ...

Trinity Health

Analyst Charge-RIO (Remote)

Trinity, FL · Remote

$21.52 - $32.28/hr

Responsible for auditing of department information, producing reports & suggesting improvements to ... RHIA, RHIT, CCS, CPC/COC, AAPC or other coding credentials and/or Licensed Vocational Nurse ...

Trinityhealth

Analyst Charge-RIO (Remote)

Trinity, FL · Remote

$21.52 - $32.28/hr

Responsible for auditing of department information, producing reports & suggesting improvements to ... RHIA, RHIT, CCS, CPC/COC, AAPC or other coding credentials and/or Licensed Vocational Nurse ...

Trinityhealth

Analyst Charge-RIO (Remote)

Tampa, FL · Remote

$21.52 - $32.28/hr

Responsible for auditing of department information, producing reports & suggesting improvements to ... RHIA, RHIT, CCS, CPC/COC, AAPC or other coding credentials and/or Licensed Vocational Nurse ...

Acclarity

Manager, Controller

Fort Lauderdale, FL · Remote

This is a remote role with flexibility on base location, though occasional travel to client sites ... auditor requests. Required Skills / Experience * Bachelor's degree in Accounting or Finance ...

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Remote Credentialing Auditor information

What is the difference between Remote Credentialing Auditor vs Remote Credentialing Specialist?

AspectRemote Credentialing AuditorRemote Credentialing Specialist
Required credentialsHealthcare-related certifications, compliance knowledgeHealthcare credentials, licensing, and certification knowledge
Work environmentRemote, healthcare or insurance organizationsRemote, healthcare facilities or insurance companies
Employer usageHealthcare providers, insurance companies, credentialing firmsHospitals, clinics, insurance companies, healthcare networks

The Remote Credentialing Auditor primarily reviews and verifies credentials for compliance and accuracy, focusing on auditing processes. In contrast, the Remote Credentialing Specialist manages the credentialing process, ensuring providers meet all licensing and certification requirements. Both roles require healthcare credentials and often work remotely within healthcare or insurance industries, but their core responsibilities differ—auditing versus processing credentialing applications.

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Remote Credentialing Auditor jobs near you

Credentialing Specialist

Sage Dental

Boca Raton, FL • On-site, Remote

Full-time

This job post has expired today. Applications are no longer accepted.

Sage Dental rating

6.2

Company rating: 6.2 out of 10

Based on 34 frontline employees who took The Breakroom Quiz

697th of 895 rated healthcare providers

Job description

Sage Dental Management is a leading, rapidly growing Dental Service Organization (DSO) committed to innovation, excellence, and patient-centered care.
Overview
Sage is looking for a Delegated Credentialing Specialist (Remote) to join our team! The Delegated Credentialing Specialist is responsible for organizing, maintaining, and verifying all aspects of the delegated credentialing process for General and Specialty Dentists. In all activities, they must comply with all legal and regulatory policies and procedures.
Responsibilities
  • Adhere to NCQA guidelines.
  • Audit Provider Licensure Files to NCQA guidelines.
  • Pull Monthly Delegated Verification Files in accordance with NCQA.
  • Knowledge of Delegated Verification Websites (ie. National Provider Data Base, etc.)
  • Understanding of Initial and Re-Credential Delegated files / processing.
  • Prepare and Present provider files for internal and external auditing.
  • Upload and update the system and / or software with new documents.
  • Request & Obtain any Licensure renewals.
  • Must be able to utilize the licensure portals.
  • Experience in Clearinghouse / Manual Education Verifications.
  • Experience in Manual Hospital Privileges Verifications.
  • Experience in Board Certification Verifications through the appropriate portals.
  • Strong understanding of the differences between similar credentials (ie. Malpractice, Diplomas, etc.)
  • Knowledge of what a Credentialing Committee consists of.
  • Coordinate, monitor, maintain and process all internal re-credentialing to NCQA guidelines.
  • Heavy Understanding of Attestation questions, actions, exclusions and explanations.
  • Ability to speak effectively with providers, educators and internal departments.
  • Assist offices and internal departments with credentialing issues.
  • Ability to multi-task in a fast-paced environment.
  • Work other projects as assigned.

Qualifications
  • High School Diploma required.
  • Minimum 2-3 years' experience in Healthcare Credentialing, Dental preferred.
  • Excellent verbal and written communication skills.
  • Well organized and detail-oriented with the ability to multi-task.
  • Proficiency with Microsoft Office products, including Word,Excel,Outlook, and Adobe required.
  • Must be able to function with minimal supervision and be able to prioritize all work tasks.
  • Designated workspace with high-speed internet and access to hot spot if needed.

What Sage Offers
Be part of a purpose-driven organization transforming dental care. Collaborate with a passionate, innovative team. Access to cutting-edge technology and professional development resources. Competitive compensation and benefits.

What Sage Dental employees say

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