[Hiring] Facility Credentialing Specialist @Spectrum Medical Partners

Role Description

The Facility Credentialing Specialist is responsible for coordinating and managing the credentialing and privileging process for healthcare providers across skilled nursing facilities (SNFs), assisted living facilities (ALFs), long-term acute care hospitals (LTACHs), inpatient rehabilitation facilities (IRFs), and other post-acute healthcare facilities. This position serves as the primary liaison between providers, facility medical staff offices, and internal departments to ensure timely processing of facility applications and reappointments.

Working in a remote environment, the Facility Credentialing Specialist maintains a high-volume portfolio of approximately 100-120 active facility privileging applications while utilizing credentialing software and established workflows to ensure accuracy, compliance, and timely completion.

Essential Duties and Responsibilities

• Prepare, complete, and submit facility credentialing and privileging applications for physicians, advanced practice providers, psychologists, therapists, and other licensed healthcare professionals.
• Manage a portfolio of up to 120 active facility applications and reappointments simultaneously while meeting established turnaround expectations.
• Monitor application status and proactively follow up with facility medical staff offices to expedite processing.
• Coordinate directly with providers to obtain required documentation, signatures, licensure updates, and other supporting information, in partnership with HR team/processes.
• Maintain accurate files and electronic records within credentialing software.
• Track expiration dates for licenses, certifications, DEA registrations, malpractice insurance, and other required documents.
• Ensure all applications are complete, accurate, and submitted in accordance with individual facility requirements.
• Communicate application status and outstanding items to providers and internal leadership weekly.
• Respond promptly to facility requests for additional documentation or clarification.
• Maintain confidentiality of provider information in accordance with HIPAA and organizational policies.
• Assist with process improvement initiatives to increase efficiency and reduce credentialing turnaround times.
• Support special credentialing projects and other administrative duties as assigned.

Qualifications

• High school diploma or equivalent required.
• Minimum of one (1) year of healthcare administrative experience required.
• Credentialing, medical staff services, provider enrollment, or healthcare operations experience preferred.
• Extreme Tech proficiency overall, with strong skills in Microsoft Office Suite, including Outlook, Excel, Word, and Adobe Acrobat.
• Strong computer skills and ability to learn new software systems quickly.

Requirements

• Pro-active & Positive attitude is a must!
• Willingness to pick up the phone and contact people is key for this position.
• Excellent organizational and time management skills.
• Ability to manage multiple deadlines and competing priorities simultaneously.
• Strong attention to detail with a high degree of accuracy.
• Excellent written and verbal communication skills.
• Ability to work independently in a remote environment while maintaining productivity and accountability.
• Professional customer service skills when interacting with providers and facility personnel.
• Strong problem-solving and critical-thinking abilities.
• Ability to maintain confidential information with discretion.
• Familiarity with post-acute healthcare environments is preferred.

Work Environment

• Fully remote position.
• Standard business hours, Monday through Friday 8am-5pm.
• Occasional extended hours may be required to meet business needs.
• Primarily sedentary work (at a desk/in front of a computer), requiring prolonged computer use.

Performance Expectations

• Timely completion of facility credentialing applications.
• Accuracy and completeness of submitted applications.
• Credentialing turnaround times.
• Provider and facility satisfaction.
• Maintenance of current provider credential files.
• Compliance with organizational policies and regulatory requirements.
• Effective management of an assigned portfolio of up to 120 concurrent facility applications.

Preferred Experience

• Candidates with experience supporting multi-specialty provider groups serving skilled nursing facilities, assisted living communities, rehabilitation hospitals, or other post-acute care settings are strongly preferred, but this can also be an entry-level position for the right person!

Salary Range

$40,000–$50,000 annually, commensurate with experience and qualifications.