Facility Credentialing Specialist

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

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