Job Description

Credentialing Department
Exceed Healthcare
Why join Exceed Healthcare?
At Exceed Healthcare, our mission is simple: improving lives through innovation . We are redefining healthcare by delivering cutting-edge medical services, expanding access through seamless virtual care, and always putting patients at the center of everything we do.
Our vision is to lead the future of healthcare by exceeding expectations through technology, strategic insight, and a deep commitment to excellence.
We value integrity, respect, accountability, and collaboration. We foster a diverse and inclusive culture where courage and resiliency thrive—and where every team member plays a vital role in making an impact.
Join us to be part of a forward-thinking team that prioritizes exceptional patient care, supports your growth, and believes in leading from every role.
Exceed Offers:
Medical, Dental, & Vision Benefits
Personal Time Off
Retirement Plan
Exceed offers a company math of up to 4% to help contribute to your retirement.
Employee Growth
Exceed values internal promotion and encourages employees to reach their career growth goals.
Exceed Training
Exceed prioritizes the development of our employees by offering a variety of workshops and training programs designed to foster their personal growth and advance their careers.
Competitive Pay
Exceed continuously monitors market evaluations to maintain its position as a leading competitor in the industry.
Work/Life Balance
Exceed recognizes that you have a life beyond your job. We prioritize creating a balanced work schedule for our providers, enabling them to maintain a harmonious life at home as well.
Job Summary:
The Credentialing Specialist at Exceed Healthcare is responsible for all aspects of the credentialing, re-credentialing and privileging processes for all medical providers who provide patient care as clients of Exceed Healthcare. This Position ensures providers are credentialed, appointed, and privileged with health plans, hospitals and patient care facilities. The Credentialing Specialist maintains up-to-date data for each provider in credentialing databases and online systems; ensure timely renewal of licenses and certifications.
Requirements:
Education & Experience:
High school diploma required; associate or bachelor’s degree in healthcare, business, or related field preferred.
2-3 years of experience in payer credentialing, medical staff services, or healthcare administration.
Previous experience with credentialing software and healthcare systems is a plus.
Certification as a Provider Credentialing Specialist (CPCS) or similar credentialing certification is preferred.
Knowledge & Skills:
Strong understanding of credentialing processes and healthcare regulations (e.g., HIPAA, NCQA, CMS).
Proficiency with credentialing databases (e.g., CAQH, PECOS, NPPES) and Microsoft Office Suite (Excel, Word, Outlook) and Gsuite.
Excellent attention to detail and organizational skills with the ability to manage multiple tasks and deadlines.
Strong communication and interpersonal skills, with the ability to collaborate effectively with providers, medical staff, and internal teams.
Ability to maintain confidentiality and handle sensitive information with integrity
Professional written and verbal communication skills and ability
Proven time management and prioritization skills focusing on urgent and overlapping deadlines
We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

Job Tags

Work at office,

Similar Jobs

Globe Life AO

Remote Insurance Representative (No Experience Needed | Weekly Pay | Flexible Hours) Job at Globe Life AO

...Start Working From Home This Week! No experience? No problem we train you from day one. Weekly... ...now Interview in 2448 hours Get hired this week! Company: Globe Life AO... ...+ performance bonuses) Start Date: Immediate Fast Interviews &##127775; What You...

ClearChoiceMD

Medical Assistant / EMT Job at ClearChoiceMD

...ClearChoiceMD is seeking a dependable full-time Medical Assistant or EMT for oururgent care centerin Williston, VT. Our ideal candidate... ...shift. Part-time hours are 8AM-8PM, 1-2 days per week. Travel: No travel is expected for this position however, depending on...

JVS Boston

Disability Services Career Coach Job at JVS Boston

...other related field required~ A deep commitment to disability inclusion in the workforce required~ An understanding of job... ...required~ Ability to work effectively with staff and clients from diverse cultural, socio-economic, ethnic, and educational backgrounds is...

Bonaventure Senior Living

Registered Nurse (RN) - Regional Nurse Consultant - Colorado Job at Bonaventure Senior Living

...residents. Were always on the lookout for nurses to help us fulfill our mission to serve... ...and we are currently recruiting for aRegional Nurse Consultantwho will travel to provide... ...on a teamwith otherRegional Nurse Consultantsto set direction and standards.If you...

Great Lakes Landscape Design

PLOW DRIVER Job at Great Lakes Landscape Design

...Team Great Lakes is looking for snowplowdrivers! Are you a retired driver? Looking for some extra cash this winter? Do you strive... ...the right candidates. Required: chauffeurs license and medical card. Send resumes and applications via email, or come in to...

Credentialing Specialist Job at Exceed Healthcare, Irving, TX

c0J1eFZqSVFrTFRBNHlKRnZYV3lZMFZ3VFE9PQ==