Healthcare Credentialing Specialist

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

📋 Description

• Oversee comprehensive facility credentialing and privileging processes for physicians, Nurse Practitioners, and Physician Assistants across various Skilled Nursing Facility locations.

• Prepare, submit, and monitor credentialing applications, facility packets, provider documents, and privileging requests.

• Collaborate with facility contacts, administrators, regional teams, and internal management to address credentialing, access, and compliance challenges.

• Maintain provider credentialing files, which include licenses, DEA registrations, board certifications, malpractice coverage, NPDB reports, CAQH profiles, CVs, and other pertinent documentation.

• Follow up with facilities to ensure that credentialing submissions are reviewed, processed, approved, and completed in a timely manner.

• Manage PCC and other EMR access, including setting up provider logins and verifying Medical Professional profiles.

• Conduct PCC login credentialing audits and maintenance, including NPI setup, DEA validation, EPCS readiness, remote user status, and resident/facility access.

• Communicate the status of provider credentialing, access readiness, and any outstanding barriers with management, operations, scheduling, implementation, and facility teams.

• Track provider onboarding, new facility launches, re-credentialing needs, and ongoing compliance requirements.

• Maintain credentialing spreadsheets, trackers, audit logs, and status reports.

• Escalate urgent credentialing or EMR access issues that impact provider coverage, patient care, or facility go-live timelines.

• Ensure that credentialing activities adhere to company policies, facility requirements, regulatory standards, and applicable state/federal guidelines.

• Support process enhancements, workflow standardization, and documentation of credentialing procedures for multi-state facility operations.

⛳️ Requirements

• A minimum of 4 years of experience in healthcare credentialing is required.

• Experience with Skilled Nursing Facilities (SNF), long-term care, telehealth, or multi-state provider credentialing is strongly preferred.

• Proven experience credentialing medical providers, Nurse Practitioners, and Physician Assistants.

• Strong understanding of facility credentialing, privileging, provider enrollment, and compliance documentation.

• Experience with PCC/PointClickCare or other EMR systems is preferred.

• Knowledge of provider licenses, DEA registrations, controlled substance registrations, prescriptive authority, malpractice coverage, and credentialing file requirements.

• Capability to manage a high volume of credentialing requests across multiple states and facility groups.

• Excellent written and verbal communication skills.

• Strong organizational, follow-up, problem-solving, and time-management abilities.

• Ability to work independently, prioritize urgent issues, and maintain precision in a fast-paced environment.

• Proficiency in Microsoft Excel, SharePoint, credentialing trackers, and other administrative systems.

• A reliable computer, noise-canceling headset, second monitor, stable internet connection, and backup internet connection are required.

• Availability to work during US Eastern Standard Time (EST), from 9am to 6pm.

🏝️ Benefits

• Opportunity for remote work from home.

• Flexible remote working environment.

• Reliable computer is required.

• Noise-canceling headset is required.

• Second monitor to enhance productivity.

• Stable internet connection is necessary.

• Backup internet connection is needed.

• Collaborate with an international team.