We are looking for a Credentialing Specialist to support provider enrollment and qualification review activities for a Contract position based in Naples, Florida. This role focuses on maintaining accurate credentialing records, coordinating documentation, and helping ensure providers meet organizational and regulatory standards. The ideal candidate brings strong knowledge of credentialing workflows and can manage deadlines with precision in a fast-paced healthcare environment.

Responsibilities:

• Oversee the collection, review, and processing of provider and physician credentialing documentation to support timely approvals.
• Coordinate initial applications, reappointment files, and re-credentialing submissions while tracking progress against required timelines.
• Verify licenses, certifications, education, work history, and other mandatory records to confirm compliance with established standards.
• Maintain organized and up-to-date credentialing files, ensuring data accuracy across internal records and supporting systems.
• Communicate with providers, payers, and internal stakeholders to resolve missing information and move applications forward efficiently.
• Monitor expiration dates and renewal requirements to help prevent lapses in active credentials or enrollment status.
• Assist with audits and reporting activities by preparing documentation and responding to credentialing-related inquiries.