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Meta Care Inc

Credentialing Specialist

Meta Care Inc, Clearwater, Florida, United States, 34623

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Overview

Provider Credentialing Specialist — Location: Remote (U.S.). Type: Full time Monday to Friday, 9:00 a.m. to 5:00 p.m. EST. About the Role

We are seeking an experienced Provider Credentialing Specialist to join our growing team. The ideal candidate will have a strong background in multi-state credentialing, with experience credentialing for Primary; Cardiology, Dental, and Anesthesia providers. This role requires exceptional attention to detail, accuracy, and the ability to work independently while managing multiple provider files across various payors and states. Responsibilities

Complete provider credentialing and recredentialing applications for multiple specialties, including Cardiology, Dental, and Anesthesia. Navigate and comply with state-specific Medicaid and Medicaid MCO credentialing requirements. Maintain accurate records of provider files, applications, and payer correspondence. Follow up with payors, providers, and internal teams to ensure timely completion of all credentialing processes. Interpret and apply plan-specific rules and state requirements for credentialing in each assigned region. Support ongoing growth—currently managing credentialing for 11 states, 26 providers, and 141 locations (and expanding). Manage and track all work using an Excel spreadsheet. Qualifications

Minimum 5 years of experience in provider credentialing (multi-state preferred). In-depth knowledge of CAQH, PECOS, NPPES, and commercial payor platforms. Proven experience with Medicaid and Medicaid Managed Care Organizations (MCOs). Strong understanding of payer enrollment processes for both commercial and government plans. Excellent organizational skills and follow-up practices. Self-motivated, detail-oriented, and able to work independently. Experience with Cardiology, Dental, or Anesthesia credentialing is highly preferred. Experience using Excel and knowledge of creating pivot tables; able to track and follow up on all providers using this platform. CPCS (Certified Provider Credentialing Specialist) preferred but not required. Schedule & Compensation

Full time Competitive hourly rate based on experience Rate: $21.00 - $23.00/hour How to Apply

To apply, please submit your resume and a cover letter highlighting your relevant experience and send to: cspiegel@metacareusa.com NOTE: YOUR APPLICATION WILL NOT BE REVIEWED WITHOUT A COVER LETTER WITH YOUR RESUME UPLOADED. IF YOU ARE NOT IN ONE OF THE 50 STATES IN THE U.S., I WILL NOT REVIEW YOUR RESUME.

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