Credentialing Specialist - Facility

• High school diploma or equivalent required.
• Previous facility credentialing experience is preferred, particularly experience supporting health plan credentialing requirements.
• Experience reviewing accreditation, regulatory, and compliance requirements for healthcare facilities is preferred.
• Familiarity with NCQA, CMS, or other health plan credentialing standards is preferred.
• Additional healthcare credentialing experience or certification is a plus.

• Strong attention to detail and the ability to maintain accuracy while managing a high-volume workload.
• Familiarity with facility credentialing concepts and primary source verification processes, including license, CCN, DEA, NPDB, accreditation, and other required facility reviews.
• Strong organizational and time-management skills.
• Ability to manage multiple priorities and meet production expectations in a fast-paced environment.
• Tech-savvy and comfortable learning new systems and technology quickly.
• Proficiency in Microsoft Excel and Word.
• Ability to work independently and remain focused and productive in a remote environment.
• Strong verbal and written communication skills.
• Ability to handle confidential information appropriately.
• Flexible, collaborative, and comfortable working with minimal supervision.
• Comfortable working across multiple screens, databases, and systems throughout the day.
• Previous facility credentialing experience, preferably within a health plan environment preferred.
• Experience with facility accreditation, regulatory, and compliance reviews preferred.
• Knowledge of NCQA, CMS, and health plan credentialing standards preferred.
• Experience using credentialing databases or software platforms preferred.

• This is a remote position. Candidates must have a dedicated, professional workspace that is free from distractions and background noise. Employees will regularly be on camera for meetings, training sessions, and team collaboration and must be able to maintain focus, professionalism, and productivity while working remotely.
• Employees will regularly be on camera for meetings, training sessions, and team collaboration and must be able to maintain focus, professionalism, and productivity while working remotely.
• The company provides necessary equipment, including dual monitors. Candidates should be comfortable using multiple monitors and navigating between several systems as part of their daily responsibilities.
• Candidates should be comfortable using multiple monitors and navigating between several systems as part of their daily responsibilities.
• Training will be provided on the company’s credentialing platform.

with the specific system is not required, but candidates must be able to learn new technology quickly.

A basic understanding of facility credentialing and primary source verification processes is strongly preferred

• Experience with the specific system is not required, but candidates must be able to learn new technology quickly.
• A basic understanding of facility credentialing and primary source verification processes is strongly preferred