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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