Facility Credentialing Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Assess facility credentialing applications for precision and completeness in accordance with specialty requirements.

• Procure necessary verifications and ensure adherence to regulatory standards.

• Communicate with facilities to resolve credentialing inquiries and gather any missing information from applications.

• Update and sustain credentialing software systems with relevant facility information.

• Execute data corrections and ensure that files are accurate and current.

• Initiate and track recredentialing applications.

• Monitor expiration dates for licenses, DEA certificates, and other essential documentation for facilities.

• Compile and present summary reports to the Credentialing Committee on a monthly basis.

• Review reports related to federal and state sanctions/exclusions.

• Create and distribute credentialing reports to internal teams.

• Prepare and send approval notifications, requests for additional information, and termination notices as mandated by the Credentialing Committee.

• Support the contracting department with credentialing assistance.

• Provide ongoing updates regarding the credentialing status of facilities.

⛳️ Requirements

• A high school diploma is required.

• Additional certification or experience in healthcare credentialing is advantageous.

• Previous experience in credentialing or a related field is preferred, though not mandatory.

• Proficient in Microsoft Excel and Word.

• Familiarity with credentialing databases is a benefit.

• Strong attention to detail and the ability to maintain confidentiality are essential.

• Must be flexible, team-oriented, and capable of working with minimal oversight.

• Excellent verbal and written communication skills are necessary.

• Must be eligible to work without visa sponsorship; the company is currently unable to provide visa sponsorship (H1B or otherwise).

🏝️ Benefits

• Competitive salary and comprehensive benefits package.

• Opportunities for professional development and training.

• Supportive work environment that values teamwork and collaboration.