Credentialing Specialist

Full Time
Orlando, FL 32826
$17 - $19 an hour
Posted 10 days ago
Job description

Loyal Source Government Services is seeking a Credentialing Specialist to join our team in Denver, CO.

$17-$19 per hour



  • The Credentialing Specialist is responsible for maintaining active status for all providers by successfully completing initial and subsequent credentialing packages as required by our customers.

File completion to include, but not limited to:

§ Primary Source Verifications

§ Employment Verifications

§ Reference Verifications

  • Maintain all credentialing tracking logs for providers currently working on assignment or in between assignments.
  • Request and pursue obtaining copies of all required renewable credentials prior to their expiration.
  • Reminders will be sent to providers at 90, 60, and 30-day intervals and then weekly within the last 30 days prior to expiration.
  • If a renewable credential cannot be obtained prior to expiration, specialist will communicate the deficit to the appropriate Program/Account Manager so that appropriate action can take place.
  • Send copies of updated credentials to customers as directed, prior to expiration.


1. All required records are up-to-date, accurate, and in compliance with company policy.

2. Credentialing functions are conducted in accordance with established Company policies and legal requirements.

3. Clinicians are treated professionally and well informed of their status of credentialing file.

4. Good coordination and effective working relations exist with other departments. Assistance is provided as needed.

5. Management is well informed of area activities and of any significant problems.



Associate Degree or equivalent with Healthcare Admin experience.


Basic understanding of healthcare terminology processes and strategies.


One year or more of administrative experience, preferably in healthcare.


Communicates and works well with others in a team environment.

Good customer service and public relations.

Knowledge of related computer applications including database entry.

Excellent phone skills.

Able to work well independently and in a team environment.

Attention to detail and solid organizational skills.



Ability to apply common sense understanding to carry out detailed but uninvolved instructions and to deal with problems involving a few variables.


Competent in the use of MS Word and Excel.


Job descriptions assist organizations in ensuring that the hiring process is fairly administered and that qualified employees are selected. They are also essential to an effective appraisal system and related promotion, transfer, layoff, and termination decisions. Well-constructed job descriptions are an integral part of any effective compensation system.

All descriptions have been reviewed to ensure that only essential functions and basic duties have been included. Peripheral tasks, only incidentally related to each position, have been excluded. Requirements, skills, and abilities included have been determined to be the minimal standards required to successfully perform the positions. In no instance, however, should the duties, responsibilities, and requirements delineated be interpreted as all inclusive. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

In accordance with the Americans with Disabilities Act, it is possible that requirements may be modified to reasonably accommodate disabled individuals. However, no accommodations will be made which may pose serious health or safety risks to the employee or others or which impose undue hardships on the organization.

Job descriptions are not intended as and do not create employment contracts. The organization maintains its status as an at-will employer. Employees can be terminated for any reason not prohibited by law.

Intrested in this job?

Related Jobs

All Related Listed jobs

World Services USA Roswell, GA $15 an hour 30+ days ago

Our bilingual agents provide onsite or telephonic interpretation, as well as document translation in all languages. Job Types: Part-time, Contract.

University of Maryland Faculty Physicians Hanover, MD 21076 30+ days ago

Assists physicians and nursing staff in the care of patients. General understanding and application of basic accounting principles.

MIKRO Systems West Palm Beach, FL 10 days ago

Reconfigure and repair system equipment, test article and stand. Assembly or test articles, test stands, equipment, and support systems.

Seven Counties Services Louisville, KY 30+ days ago

Performs such front-desk/reception functions as meeting and greeting clients and visitors, answering multi-line switchboard, forwarding calls to voice mail or

Collectively, our leadership has over 300 years of experience in sales and sponsorship, analytics and valuation, hospitality and operations.

Securitas West Carrollton City, OH $12.50 - $13.00 an hour 1 day ago

Security Positions are Full and Part Time. Must have excellent Customer Service skills. Security positions require you pass our drug screen and background check

TownePlace Suites by Marriott at Briarcliff Kansas City, MO 64116 30+ days ago

Must be available for emergency calls at hotel during off duty hours. Performing maintenance and repairs to facility. Must have valid drivers license.

Superior Court, County of Santa Clara San Jose, CA 95113 30+ days ago

EMPLOYMENT STANDARDS: Master's degree in psychology, social work, or marriage and child counseling, or other behavioral science substantially related to

Armanino LLP Dallas, TX 75248 30+ days ago

Review and analyze client data and prepare Corporate, Partnership, Trust and Individual tax returns on behalf of clients.

Keene Family YMCA Keene, NH 03431 From $40,000 a year 29 days ago

The Grant Funded Teen Experience Director will oversee all teen experiences in and out of the YMCA and will develop, organize, and implement high quality Teen