Job Description
Job Description
Credentialing Specialist – Exact Billing Solutions (EBS)
Lauderdale Lakes, FL
Salary: $26.00 - $28.00 per hour
Who We Are
Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in the substance use disorder, mental health, and autism care fields of healthcare services. We have extensive industry knowledge, a deep understanding of the specific challenges of these markets, and a reputation for innovation. With our proprietary billing process, EBS is the oil that brings life to the engines of its partner healthcare companies.
EBS is poised for exponential growth, and we are building out our teams to support the expansion of global operations.
Part of the ICBD family office portfolio, Exact Billing Solutions combines entrepreneurial speed with the financial discipline of a self-funded, founder-led organization. Our growth reflects a proven ability to solve complex healthcare challenges with operational precision, scalable systems, and client-first innovation.
Our Origin Story
Exact Billing Solutions was launched to address one of healthcare’s most persistent challenges: the burden of billing and insurance administration on providers. With firsthand knowledge of how inefficiencies in revenue cycle management drain resources from patient care, our founder built a company dedicated to removing obstacles, accelerating cash flow, and delivering peace of mind to clients across specialties.
Recognition & Awards
Exact Billing Solutions contributes heavily to the success of the broader ICBD family office ecosystem and benefits from the recognition awarded to other portfolio companies, including:
- Inc. 5000, 2024 – Top 5 Fastest-Growing Private Companies in America (ABA Centers of America)
- EY Entrepreneur Of The Year® U.S. Overall
- Florida Trend Magazine – 500 Most Influential Business Leaders
About the Role
The Credentialing Specialist plays a crucial role in ensuring that healthcare professionals within an organization meet all necessary qualifications, certifications, and regulatory requirements. This position involves overseeing the credentialing process for medical staff and collaborating with various departments to maintain compliance and uphold the highest standards of quality and patient safety.
The principal functions of the position identified shall not be considered as a complete description of all the work requirements and expectations that may be inherent in the position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.
Key Responsibilities
The following are duties and responsibilities that the Credentialing Specialist shall provide:
- Oversee the end-to-end credentialing process for medical staff, including physicians, nurses, allied health professionals, and other relevant personnel.
- Develop and implement efficient credentialing workflows, ensuring accuracy and adherence to established protocols.
- Review and evaluate credentialing applications, verifying information, licenses, certifications, references, and other pertinent documentation.
- Stay current with industry regulations, standards, and best practices related to credentialing and privileging.
- Ensure that all credentialing activities are in line with federal, state, and local regulations, as well as accrediting bodies' requirements.
- Use credentialing software and databases to maintain accurate records of medical-staff credentials, licensures, certifications, prefilling insurance applications, tracking progress, and other relevant information.
- Generate reports and analytics to track and monitor contracting and credentialing processes and compliance metrics.
Requirements
Qualifications
The Credentialing Specialist requires a minimum of a High School Diploma, Bachelor’s Degree is preferred and:
- Several years of experience in healthcare credentialing, with at least 2-3 years in a supervisory or leadership role.
- In-depth knowledge of credentialing processes, regulatory requirements, and healthcare industry standards.
- Strong collaboration skills for working with other departments, such as Human Resources, Legal, Admissions, and Compliance.
- Possesses effective leadership traits and skills.
- Strong knowledge of auditing, billing and insurance procedures.
- Thorough understanding of medical terminology, licensing, and certifications across various specialties.
- Excellent organizational skills with a keen attention to detail.
- Proficiency in using credentialing software and databases.
- Exceptional communication and interpersonal skills.
- Problem-solving abilities and the capacity to work well under pressure.
Benefits
Outstanding Benefits
- 21 paid days off (15 PTO days, increasing with tenure, plus 6 holidays)
- Flexible Spending Account (FSA) and Health Savings Account (HSA) options
- Medical, dental, vision, long-term disability, and life insurance
- Generous 401(k) with up to 6% employer match
About Exact Billing Solutions
Exact Billing Solutions is committed to building a culture of professionalism, accountability, and operational excellence. We believe billing is more than a back-office function—it’s a vital part of delivering quality healthcare. By hiring individuals with the right blend of expertise, integrity, and client focus, we empower providers to thrive while making the business of healthcare more efficient and sustainable.
Join our mission and help transform healthcare billing with precision and purpose!
Exact Billing Solutions participates in the U.S. Department of Homeland Security E-Verify program.