We are seeking a highly experienced and detail-oriented Facility Credentialing Specialist to join our team. The ideal candidate will have a proven track record of at least 5 years in conducting primary source verifications and managing end-to-end credentialing processes for facilities. This role is integral to ensuring compliance with regulatory standards and maintaining the highest level of integrity in our credentialing operations.
Key Responsibilities:
• Conduct primary source verifications in accordance with regulatory and organizational standards.
• Prepare and process end-to-end credentialing packets for facilities, ensuring accuracy and completeness.
• Collaborate with internal teams to facilitate timely credentialing and re-credentialing processes.
• Maintain up-to-date and organized records of all credentialing activities.
• Ensure compliance with federal, state, and local laws, as well as accreditation standards (e.g., NCQA, URAC, Joint Commission).
• Serve as a point of contact for credentialing inquiries, both internally and externally.
• Develop and maintain strong relationships with facilities and governing bodies.
Qualifications:
• Minimum of 5 years of experience in facility credentialing, including primary source verifications and full-cycle credentialing processes.
• Comprehensive knowledge of credentialing standards and regulatory requirements.
• Experience working in a health plan or health system is highly desirable.
• Strong analytical skills and attention to detail.
• Excellent communication and interpersonal skills.
• Proficiency in credentialing software and Microsoft Office Suite.
• Ability to prioritize tasks and manage time effectively in a fast-paced environment.
Preferred Qualifications:
• Familiarity with NCQA, URAC, or Joint Commission standards.
• Certification in Credentialing (e.g., CPCS or CPMSM) is a plus.
Why Join Us?
• Be part of a dynamic and mission-driven team.
• Competitive salary and benefits package.
• Opportunities for professional growth and development.
How to Apply:
If you meet the qualifications and are passionate about contributing to a high-performing team, we encourage you to apply! Please submit your resume and a cover letter detailing your relevant experience.
Job Types: Part-time, Contract
Pay: $21.39 – $25.76 per hour
Benefits:
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
Schedule:
• 4 hour shift
• 8 hour shift
• Monday to Friday
Experience:
• Credentialing: 5 years (Required)
Work Location: Remote
