Credentialing Specialist

Job Description

Job Description

Credentialing Specialist

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.

Exceed values internal promotion and encourages employees to reach their career growth goals.

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.

Exceed continuously monitors market evaluations to maintain its position as a leading competitor in the industry.

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.