Medicaid Credentialing Specialist

Found in: Appcast Linkedin GBL C2 - 2 weeks ago


North Miami, United States Benjamin Douglas Full time

The home care space is a multibillion dollar industry that has grown explosively since Covid arrived; baby boomers are getting old enough to need care, and most Americans prefer to keep their parents in their homes vs. sending them to senior facilities. We seek a highly motivated self-starter who takes ownership of their work. The ideal candidate thrives on communication and solving problems.


The streamlined processes range from getting providers contracted and licensed to provide home care, getting clients/patients for whom to provide care, starting and managing claims, and collecting and performing collections and financial audits. These processes enable home care businesses to stay alive and grow, and we have hundreds of customer testimonials that speak towards the impact on keeping these businesses afloat and thereby bolstering the delivery of care to thousands of seniors across the country.


Location: North Miami, FL (onsite)

  • Salary: $55k-$65k + benefits


Position Summary

As the Medicaid Credentialing Specialist, you will serve as the bridge between our customers and third-party payers regarding communication about credentialing applications and related requests.

Essential Duties and Responsibilities

  • Responsible for credentialing and re-credentialing activities of home care providers to ensure compliance with appropriate accrediting and regulatory agencies
  • Maintain data integrity of credentialing database and customer information
  • Communicate with customers via email and phone regarding application status updates and other inquiries

Experience and Skills

  • Minimum 1 year of customer service experience
  • Experience working in credentialing preferred
  • Strong organizational skills
  • Detailed Oriented
  • Ability to conduct and complete thorough research
  • Teamwork
  • Adaptability
  • Initiative Skills
  • Database Management
  • Proficiency in MS Office Suite (Outlook, Word, Excel) is required

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