Facility Credentialing Specialist
Summary
Processes healthcare provider credentialing applications, verifies documentation, and manages renewals for facilities, working remotely in select states.
*This is a remote position which requires residence in Arizona, Texas, Tennessee, New Hampshire, Florida or North Carolina.
Company Overview
The Facility Credentialing Specialist is responsible for managing initial and reappointment applications for healthcare facilities, ensuring accurate and timely submission of all required documentation. Monitors application status and follows up on outstanding items. Maintains strong working relationships with MSO (Management Services Organization) and CVO (Credentialing Verification Organization) partners to facilitate efficient credentialing processes, resolve issues, and maintain good communication about the credentialing process.
Key Responsibilities
- Manage the credentialing and recredentialing process for providers.
- Collect, verify, and maintain required credentialing documentation.
- Prepare and submit initial and reappointment credentialing applications for providers.
- Monitor expiration dates and ensure timely renewals of licenses, certifications, and contracts.
- Maintain accurate credentialing records in credentialing databases.
- Serve as the primary point of contact for credentialing-related inquiries from providers, facilities, CVO/MSO offices.
- Track application status and follow up with outstanding documents for applications.