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Remote Provider Credentialing Jobs in Florida (NOW HIRING)

Qualifacts

Provider Credentialing Specialist

Tampa, FL · On-site +1

Remote candidates will not be considered. Responsibilities for the Provider Credentialing Specialist * Keeps abreast of regulatory developments in the Behavioral Health, Primary Care, and Medical ...

Qualifacts

Provider Credentialing Specialist

Tampa, FL · On-site +1

Remote candidates will not be considered. Responsibilities for the Provider Credentialing Specialist * Keeps abreast of regulatory developments in the Behavioral Health, Primary Care, and Medical ...

Beacon Talent

Credentialing Manager

Jacksonville, FL · Remote

$95K - $120K/yr

Remote (US) or Hybrid (City, State) Type: Full-time Reports to: Head of Operations / Director of ... Own end-to-end credentialing for clinicians/providers across multiple states and payers (as ...

CCP Cares

Credentialing Coordinator

Sunrise, FL · Remote

Contacts providers and designated credentialing administrators to obtain all necessary ... Ability to learn new applications to function effectively in a remote work environment * Establish ...

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 ... Audit Provider Licensure Files to NCQA guidelines. * Pull Monthly Delegated Verification Files in ...

Imagenet

Claims Examiner - Remote

Tampa, FL · Remote

Verify patient eligibility, provider credentialing, and coverage details to facilitate accurate ... Remote work offered * Equipment provided * Paid trainingto set you up for success * Comprehensive ...

ImagenetLLC

Claims Examiner - Remote

Tampa, FL · Remote

Verify patient eligibility, provider credentialing, and coverage details to facilitate accurate ... Remote work offered * Equipment provided * Paid training to set you up for success * Comprehensive ...

Imagenet

Claims Examiner - Remote

Tampa, FL · On-site +1

Verify patient eligibility, provider credentialing, and coverage details to facilitate accurate ... Remote work offered * Equipment provided * Paid training to set you up for success * Comprehensive ...

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All JobsProvider Credentialing JobsRemote Provider Credentialing JobsRemote Provider Credentialing Jobs in Florida

Remote Provider Credentialing information

What remote job is highest in demand?

Remote provider credentialing specialists are in high demand due to the healthcare industry's shift toward virtual processes. These roles require attention to detail, knowledge of healthcare regulations, and often involve working with credentialing software and electronic health records systems. The demand is driven by the need for efficient provider onboarding and compliance management in a remote setting.

What is remote provider credentialing?

Remote provider credentialing refers to the process of verifying the qualifications, experience, licensure, and background of healthcare providers who work remotely. This is essential for ensuring that remote physicians, nurses, and other practitioners meet all regulatory and organizational standards before they deliver care. The process often involves collecting and reviewing documents, contacting licensing boards, and verifying work history, all conducted through secure online systems. Remote credentialing helps healthcare organizations maintain compliance and ensure patient safety while supporting flexible work arrangements.

What does a remote credentialing specialist do?

A remote credentialing specialist verifies healthcare providers' qualifications, licenses, and certifications to ensure compliance with regulatory standards. They review and process documentation, communicate with providers and insurance companies, and maintain accurate records using credentialing software. This role requires attention to detail, knowledge of healthcare regulations, and often involves working with electronic health records and credentialing databases.

What are the key skills and qualifications needed to thrive as a Remote Provider Credentialing Specialist, and why are they important?

To thrive as a Remote Provider Credentialing Specialist, you need a solid understanding of healthcare regulations, credentialing processes, and attention to detail, often supported by a bachelor's degree or relevant experience. Familiarity with credentialing software (such as CAQH, VerityStream, or MD-Staff) and knowledge of healthcare compliance standards are typically required. Excellent organizational skills, strong communication, and problem-solving abilities help you manage complex documentation and interact with providers and regulatory bodies. These skills are essential for ensuring providers meet all regulatory requirements, maintaining compliance, and supporting efficient healthcare operations.

What is the difference between Remote Provider Credentialing vs Remote Medical Billing Specialist?

AspectRemote Provider CredentialingRemote Medical Billing Specialist
Required CredentialsLicenses, certifications, provider documentationBilling codes, insurance knowledge, coding certifications
Work EnvironmentHealthcare organizations, credentialing firmsMedical offices, billing companies
Industry UsageHealthcare, provider networksHealthcare, insurance reimbursement
Search & Comparison IntentCredentialing process, provider verificationBilling procedures, reimbursement processes

Remote Provider Credentialing focuses on verifying healthcare providers' qualifications and licensing to ensure they meet industry standards. In contrast, Remote Medical Billing Specialists handle insurance claims, coding, and reimbursement processes. Both roles are essential in healthcare operations but serve different functions within the industry.

What are some common challenges faced when managing provider credentialing in a remote work environment?

One of the main challenges in remote provider credentialing is staying organized while tracking multiple providers’ documents and deadlines across different systems. Communication can also be more complex, as coordination with healthcare providers, licensing boards, and insurance companies often requires timely follow-ups and clear digital documentation. Utilizing secure, cloud-based credentialing software and maintaining regular virtual check-ins with your team can help ensure deadlines are met and compliance is maintained. Proactively managing these aspects can reduce delays and support a smooth credentialing process.

How much does a credentialing assistant make?

A credentialing assistant typically earns between $35,000 and $50,000 annually, depending on experience, location, and the size of the organization. They often work with healthcare providers to verify credentials and maintain compliance using credentialing software. Entry-level positions may start lower, while experienced assistants or those with specialized certifications can earn higher salaries.

How to get into provider credentialing?

To enter provider credentialing, candidates typically need a background in healthcare administration, insurance, or related fields, along with strong organizational and communication skills. Gaining experience with credentialing software and understanding industry standards, such as CMS or NCQA requirements, is also beneficial. Certifications like Certified Provider Credentialing Specialist (CPCS) can enhance job prospects in this field.
What are the most commonly searched types of Provider Credentialing jobs in Florida? The most popular types of Provider Credentialing jobs in Florida are:
What cities in Florida are hiring for Remote Provider Credentialing jobs? Cities in Florida with the most Remote Provider Credentialing job openings:
Remote Provider Credentialing jobs near you
Infographic showing various Remote Provider Credentialing job openings in Florida as of June 2026, with employment types broken down into 5% Locum Tenens, 46% Full Time, 38% Part Time, and 11% Contract. Highlights an 93% Physical, 3% Hybrid, and 4% Remote job distribution.
Provider Credentialing Specialist

Provider Credentialing Specialist

Qualifacts

Tampa, FL • On-site, Remote

Full-time

Posted 16 days ago

Job description

Job Description:

Qualifactsis a leading provider of behavioral health software and SaaS solutions for clinical productivity, compliance and state reporting, billing, and business intelligence. Its mission is to be an innovative and trusted technology and end-to-end solutions partner, enabling exceptional outcomes for its customers and those they serve. Qualifacts' comprehensive portfolio, including the CareLogic, Credible, and InSync platforms, spans and serves the entire behavioral health, rehabilitative, and human services market supporting non-profit Certified Community Behavioral Health Clinics (CCBHC) as well as for-profit large enterprise and small business providers.Qualifacts has a loyal customer base, with more than 2,500 customers representing 75,000 providers serving more than 6 million patients. Qualifacts was recognized in the 2022 and 2023 Best in KLAS: Software and Services report as having the top ranked Behavioral Health EHR solutions.

If you want to work inside an atmosphere where innovation has purpose, and your ambition works to support our customers and those they serve, please apply today!

We are seeking candidates in Nashville or Tampa to work a hybrid schedule in either office location. Remote candidates will not be considered.

Responsibilities for the Provider Credentialing Specialist

  • Keeps abreast of regulatory developments in the Behavioral Health, Primary Care, and Medical Staff Services industries
  • Maintains compliance with regulatory and accrediting bodies
  • Works collaboratively with leadership in the development and implementation of credentialing processes and procedures
  • Credentialing of physicians, allied health, and other practitioners
  • Insurance paneling of facilities, physicians, allied health, and other practitioners
  • Collects and maintains an accurate practitioner database and analyze verification information
  • Collects and maintains records in licenses, credentials, and insurance contracts
  • Monitors Partner/Customer's providers' credentials and licenses
  • Works collaboratively with Partners/Customers to advise on renewal procedures
  • Work collaboratively with Partners/Customers to ensure timely completion of credentialing processes
  • Releases information to agencies and members of the public as required by law
  • Escalates identified credentialing risks to Billing Manager and Partner/Customer leadership
  • Has a subject matter expertise level provider credentialing and processes
  • Develops and maintains credentialing processes and standards for the department
  • Keeps abreast of credentialing requirements for Joint Commissions and CARF
  • Keeps abreast of insurance paneling requirements for Medicare, Medicaid, and Commercial payers
  • Assists with the development and operations of a customer call center
  • Provides credentialing consultations/trainings as requested


Qualifications of Provider Credentialing Specialist

  • Proven experience in provider credentialing and insurance paneling
  • In-depth knowledge of industry's standards and regulations
  • Provider Credentialing Specialist certification through NAMSS preferred


Knowledge, Skills, and Abilities of the Provider Credentialing Specialist

  • Ability to delve into the credentialing requirements of Partners
  • Excellent communication and organizational skills
  • Motivation and ability to manage concurrent projects, constituents, and priorities with tight deadlines in a dynamic environment
  • Build positive and effective relationships with other leaders, internally and externally
  • Regarded as a team player by colleagues and models company values and culture
  • Ensures that all work adheres to company mission and goals
  • Represents the company, mission, and values well to both internal and external stakeholders

Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

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