** Credentialing Specialist - Remote **

Blue Cloud Pediatric Surgery Centers is hiring a Credentialing Specialist to coordinate credentialing and re-credentialing for healthcare providers. The role verifies and maintains provider records, tracks renewals, and supports compliance with regulatory, accreditation, and organizational requirements.

Responsibilities

• Coordinate initial credentialing and re-credentialing for new and existing providers
• Collect, review, and verify required provider documentation
• Conduct primary and secondary source verifications
• Identify discrepancies and follow up to resolve issues
• Monitor and track provider licenses, certifications, and expiring documents
• Maintain provider and facility records within credentialing software systems
• Assist providers with licensing and credentialing inquiries
• Ensure compliance with all applicable regulations, standards, policies, and procedures
• Maintain organized electronic provider and facility files
• Provide timely follow-up on outstanding credentialing items and renewal requirements

Preferred

• Experience with credentialing software
• Knowledge of accreditation standards
• Minimum of one (1) year of credentialing or related healthcare administrative experience
• Credentialing Software
• Accreditation Standards
• Credentialing
• Healthcare Administration

Benefits

• Comprehensive health insurance coverage
• Flexible Spending Accounts (FSA)
• Health Savings Accounts (HSA)
• Disability insurance
• A variety of voluntary benefit options
• Competitive 401(k) retirement plan with company matching contributions
• Generous Paid Time Off (PTO) program to support work-life balance
• Fully remote and predictable schedule with no on-call responsibilities, no weekends, and no holiday shifts

Company

• Pediatric special-needs ambulatory surgery centers for dentistry and oral surgery
• The Woodlands, Texas, USA
• https://bluecloudpsc.com/services-provided/
• Founded in 2011
• 501-1000 employees

Qualifications

• Strong work ethic
• a positive attitude
• a genuine commitment to delivering exceptional patient care
• You thrive in a fast-paced, team-oriented environment
• are dedicated to supporting a culture of collaboration, professionalism, and excellence
• You value working alongside others to ensure every patient receives the highest quality care and service throughout their experience with the Surgery Center
• Knowledge of credentialing and privileging processes
• Strong organizational and time management skills
• Ability to prioritize and manage multiple tasks
• Exceptional attention to detail and accuracy
• Strong problem-solving skills
• Excellent written and verbal communication skills
• Ability to work independently
• Ability to maintain confidentiality
• Proficiency in Microsoft Word and Excel
• Ability to navigate web-based systems and online resources
• High school diploma, GED, or equivalent
• Proficiency in Microsoft Office, including Word and Excel
• Ability to navigate online resources and web-based systems
• Knowledge of medical credentialing and privileging procedures and standards
• A positive attitude
• A genuine commitment to delivering exceptional patient care
• Are dedicated to supporting a culture of collaboration, professionalism, and excellence
• Experience with credentialing software
• Knowledge of accreditation standards
• Minimum of one (1) year of credentialing or related healthcare administrative experience

Required skills

• Accreditation Standards, Medical Credentialing and Privileging

Preferred skills

• Experience with credentialing software, Knowledge of accreditation standards

Experience

• 1+ years