Credentialing Specialist Position Available In Pinellas, Florida

Credentialing Specialist Evara Health – 3.2

Clearwater, FL Job Details Estimated:

$37.7K – $51.9K a year 12 hours ago Benefits Paid holidays Paid time off Gym membership Opportunities for advancement Qualifications Medicare Healthcare Administration Mid-level High school diploma or GED Bachelor’s degree NCQA standards Associate’s degree Full Job Description Join Evara Health , where our mission to provide essential, high-quality healthcare services brings life-changing care to communities most in need. With 17 local centers and mobile health units across our network, we offer comprehensive care encompassing primary care, dental, behavioral health, pediatrics and more. At Evara Health, we are more than just a healthcare provider; we are a mission-driven, team-based organization. Our professionals come for the purpose and stay for the supportive culture and the strong, community-focused teams. Embark on a career that fulfills more than just professional goals—it transforms lives every day.

About This Role:

Provider Credentialing & Enrollment:

Manages full-cycle credentialing, enrollment, and re-credentialing for providers across Medicare, Medicaid, managed care, and commercial insurance plans, ensuring all documentation meets payer and regulatory standards.

Documentation & Compliance:

Maintains accurate and up-to-date provider records, monitors expirables, and ensures compliance with NCQA, AAAHC, HRSA, FTCA, and other regulatory requirements through timely verifications and background checks.

Systems & Data Management:

Utilizes credentialing software to organize workflows, track deadlines, update payer databases, and generate reports, ensuring data accuracy and uninterrupted provider reimbursement.

Payer Relations & Issue Resolution:

Acts as the primary liaison between providers and payers, resolving credentialing issues, expediting applications, and collaborating with billing and revenue cycle teams for timely communication and updates.

Process Improvement & Policy Adherence:

Recommends and implements improvements to streamline workflows and maintain audit readiness while ensuring strict adherence to Evara Health, HIPAA, HRSA, and all applicable regulations and policies.

Why You’ll Love Working Here:

Impact:

Every day, you’ll make a significant impact on our patients’ lives, leading efforts that go beyond healthcare to ensure community wellbeing.

Growth:

We support your professional development through continuous learning and opportunities to grow within Evara Health.

Recognition:

As part of our team, your hard work will be recognized and rewarded, contributing to your professional fulfillment and job satisfaction.

Education and Experience:

High School Diploma or GED required; Associate’s or Bachelor’s degree in Healthcare Administration or related field preferred. Minimum of 2 years of experience in provider credentialing or payer enrollment preferably in an FQHC, hospital or multi-specialty practice setting. Familiarity with Medicare/Medicaid enrollment is strongly preferred.

Culture and Benefits:

What sets Evara Health apart is our amazing culture and team spirit. We’ve set record engagement scores this year, creating an environment where our staff thrives and feels truly valued. We are able to do this through our team-based approach to work, but also in our unique benefit offerings such as:

Generous Time Off:

Enjoy 18 days of paid time off with an option to cash out unused days.

Holidays:

Celebrate with 10 paid holidays and an additional day off for your birthday.

Wellness Perks:

Enjoy a free gym membership to support your health and fitness goals.

Work-Life Balance:

Benefit from a typical Monday-Friday schedule.

Educational Support:

Take advantage of education assistance programs to further your professional development.

Career Advancement:

Numerous opportunities to advance within nursing leadership or other roles.

Education Assistance:

Up to $1,500 a year for education assistance including trainings, certifications or formal education Join us, and be part of a team that is truly making a difference. Apply today to step into a career filled with purpose, challenge, and the opportunity to be part of something bigger than yourself. #LI-VS1