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Infographic showing various Database Administrator job openings at Qgenda in the United States as of August 2026, with employment types broken down into 86% Full Time, and 14% Part Time. Highlights an 57% Physical, and 43% Hybrid job distribution.

Medical Credentialing Specialist

Carolina Nephrology PA

Greenville, SC • On-site

$25 - $27/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

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

Job description

Job Type
Full-time
Description
Position Overview
Carolina Nephrology is seeking an experienced Medical Credentialing Specialist. The ideal candidate will have extensive experience managing provider credentialing in a multi-provider healthcare environment and possess strong proficiency with Qgenda or similar credentialing software. This individual will play a key role in ensuring providers maintain compliance with all credentialing, privileging, and payer enrollment requirements across multiple healthcare settings.
Key Responsibilities
  • Manage the initial credentialing and re-credentialing processes for 20-40 providers across ambulatory surgery centers, hospitals, dialysis centers, and outpatient clinics.
  • Oversee payer enrollment and re-enrollment activities, including Medicare, Medicaid, and commercial insurance plans.
  • Maintain and update provider information within CAQH and other credentialing databases.
  • Coordinate credentialing and privileging activities with 7-12 hospitals, multiple dialysis organizations, and 20-25 clinic locations.
  • Manage facility credentialing and ensure organizational compliance with regulatory and accreditation requirements.
  • Monitor credentialing expiration dates and proactively managing renewals to prevent lapses in provider participation.
  • Collaborate with physicians, administrators, practice leadership, and external organizations to facilitate timely credentialing approvals.
  • Maintain accurate credentialing records and ensure compliance with federal, state, payer, and organizational standards.

Requirements
Qualifications
  • Demonstrated experience in healthcare credentialing, payer enrollment, facility credentialing, and CAQH management.
  • Strong working knowledge of QGenda or similar credentialing software is required.
  • Experience credentialing providers across multiple healthcare environments, including hospitals, ASCs, dialysis facilities, and physician practices.
  • Thorough understanding of credentialing regulations, accreditation standards, and payer requirements.
  • Exceptional organizational, time-management, and communication skills.
  • Strong attention to detail and ability to manage multiple projects and deadlines simultaneously.
  • Ability to work independently while maintaining a high level of accuracy and accountability.

What We Offer
  • Competitive compensation based on experience and qualifications.
  • Opportunity to support a growing, provider-focused nephrology organization.
  • Collaborative and professional working environment.

Benefits:
  • 401(k)
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Hours: Monday-Friday 9am-5pm
Pay: $25.00 - $27.00 per hour
Salary Description
$25.00 - $27.00 per hour

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