OpeningsFirst
How it worksPricingLog in
OpeningsFirst › Jobs in the United States › Jobs in Greenville, South Carolina

Medical Credentialing Specialist

Carolina Nephrology, PA · carolinanephrology.com
Greenville
Apply on Carolina Nephrology, PA’s site

Straight from the company’s own careers site.

The job in short

Medical provider credentialing.

InsuranceCompliance

Details

Found
30 d ago · posted 2026-09-16
Location
Greenville, SC, US
Pay (as listed)
$25–$27 an hour

Full description

Description Position Overview Carolina Nephrology is seeking an experienced Medical Credentialing Specialist. The ideal candidate will have extensive experience managing provider credentialing in a multi-provider healthcare environment and possess strong proficiency with Qgenda or similar credentialing software. This individual will play a key role in ensuring providers maintain compliance with all credentialing, privileging, and payer enrollment requirements across multiple healthcare settings. Key Responsibilities • Manage the initial credentialing and re-credentialing processes for 20–40 providers across ambulatory surgery centers, hospitals, dialysis centers, and outpatient clinics. • Oversee payer enrollment and re-enrollment activities, including Medicare, Medicaid, and commercial insurance plans. • Maintain and update provider information within CAQH and other credentialing databases. • Coordinate credentialing and privileging activities with 7–12 hospitals, multiple dialysis organizations, and 20–25 clinic locations. • Manage facility credentialing and ensure organizational compliance with regulatory and accreditation requirements. • Monitor credentialing expiration dates and proactively managing renewals to prevent lapses in provider participation. • Collaborate with physicians, administrators, practice leadership, and external organizations to facilitate timely credentialing approvals. • Maintain accurate credentialing records and ensure compliance with federal, state, payer, and organizational standards. Requirements Qualifications • Demonstrated experience in healthcare credentialing, payer enrollment, facility credentialing, and CAQH management. • Strong working knowledge of QGenda or similar credentialing software is required. • Experience credentialing providers across multiple healthcare environments, including hospitals, ASCs, dialysis facilities, and physician practices. • Thorough understanding of credentialing regulations, accreditation standards, and payer requirements. • Exceptional organizational, time-management, and communication skills. • Strong attention to detail and ability to manage multiple projects and deadlines simultaneously. • Ability to work independently while maintaining a high level of accuracy and accountability. What We Offer • Competitive compensation based on experience and qualifications. • Opportunity to support a growing, provider-focused nephrology organization. • Collaborative and professional working environment. Benefits: • 401(k) • Dental insurance • Health insurance • Life insurance • Paid time off • Vision insurance Hours: Monday-Friday 9am-5pm Pay: $25.00 - $27.00 per hour

Medical Coding / Billing / Records jobs in Greenville, South Carolina · Medical Coding / Billing / Records jobs in the United States · All Carolina Nephrology, PA jobs

Get jobs like this every morning

Jobs in India · Jobs in the US · Who’s hiring in India · Who’s hiring in the US · How OpeningsFirst works · Free jobs widget
OpeningsFirst · Use with AI · Terms · Privacy · Refunds · Contact Showing prices for outside India or India