Job Description

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

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