What are the responsibilities and job description for the Credentialing Specialist position at LUKE?
Job Title: Credentialing Specialist
Location: Hybrid/Corporate Office, Rockledge, FL
FLSA: Hourly Non-exempt
Are you ready to play a key role in shaping the healthcare workforce of tomorrow? Luke & Associates Inc. is seeking an enthusiastic and detail-oriented Credentialing Specialist to join our fast-paced and dynamic team. This is a fantastic opportunity for individuals who are passionate about making an impact in the healthcare industry while working in a supportive, collaborative environment.
Why You'll Love This Role:
As a Credentialing Specialist, you’ll be at the heart of ensuring healthcare professionals are qualified and ready to make a difference. You’ll have the chance to engage with cutting-edge credentialing processes, work directly with healthcare practitioners, and make sure everything is in place to support their success. If you enjoy problem-solving, attention to detail, and making a tangible impact, this is the role for you!
Preferred Qualifications:
- High School Diploma (Associate's degree preferred)
- Minimum of 1 year of credentialing experience in a healthcare setting (experience in practitioner insurance enrollment, medical staff or government contractor healthcare credentialing is a plus)
- Familiarity with credentialing processes, policies, and procedures
- Experience in a healthcare environment (physician office or hospital) is beneficial, with a willingness to learn credentialing processes
- Knowledge of the Joint Commission standards
- Exceptional critical thinking, judgment, and communication skills
- Proficiency in Microsoft Office, Excel, internet search tools, and research techniques
- Experience with PDF software (Adobe, Foxit, or other) is a plus
Core Duties & Responsibilities:
- Perform the initial credentialing for healthcare workers, reviewing resumes and qualifications to ensure alignment with job descriptions
- Primary source verification of medical licensure, education, employment, DEA status, and NPDB queries (training available for the right candidate)
- Initiate background checks and drug screens, reporting any derogatory findings to the manager
- Assist applicants with completing necessary DoD forms accurately
- Monitor expiring licenses, certifications, and other documents, assisting practitioners with renewals and escalating issues when needed
- Track and report the progress of credentialing activities for healthcare workers
- Adhere to policies and procedures ensuring timely delivery of completed work
- Identify and resolve discrepancies, time gaps, and other issues that may affect the credentialing process
- Perform other duties as assigned to support the credentialing team
Special Requirements & Skills:
- Ability to manage multiple tasks and reprioritize on short notice
- Strong teamwork, time management, and adaptability skills
- Ability to meet deadlines in a fast-paced, deadline-driven environment
- Flexibility and comfort in working with a variety of personalities and adapting to changing environments
