Healthcare Credentialing Specialist
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LimitlessliHealthcare credentialing
Location: Manila, PH / Cebu City, PH / Davao City, PH, US Eastern Standard Time (EST), 9am to 6pmFull-TimeMiddle
Salary not disclosed
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Job Details
- Experience
- Minimum of 4 years of healthcare credentialing experience required
- Required Skills
- SharePointMicrosoft Excel
Requirements
- Have a minimum of 4 years of healthcare credentialing experience.
- Have experience credentialing medical providers, Nurse Practitioners, and Physician Assistants.
- Have strong knowledge of facility credentialing, privileging, provider enrollment, and compliance documentation.
- Understand provider licenses, DEA registrations, controlled substance registrations, prescriptive authority, malpractice coverage, and credentialing file requirements.
- Be able to manage high-volume credentialing requests across multiple states and facility groups.
- Be proficient with Microsoft Excel, SharePoint, credentialing trackers, and other administrative systems.
- Be able to work independently, prioritize urgent issues, and maintain accuracy in a fast-paced environment.
- Be available to work 9am to 6pm US Eastern Standard Time (EST).
- Have a reliable computer, noise-canceling headset, second monitor, stable internet connection, and backup internet connection.
- Experience with SNF, long-term care, telehealth, or multi-state provider credentialing is strongly preferred.
- Experience with PCC/PointClickCare or other EMR systems is preferred.
Responsibilities
- Manage end-to-end facility credentialing and privileging for physicians, Nurse Practitioners, and Physician Assistants across multiple SNF facilities.
- Prepare, submit, and track credentialing applications, facility packets, provider documents, and privileging requests.
- Coordinate with facility contacts, administrators, regional teams, and internal management to resolve credentialing, access, and compliance issues.
- Maintain provider credentialing files, including licenses, DEA registrations, board certifications, malpractice coverage, NPDB reports, CAQH profiles, and CVs.
- Follow up with facilities to ensure submissions are reviewed, processed, approved, and completed.
- Manage provider PCC and other EMR access, including login setup and Medical Professional profile verification.
- Conduct PCC login credentialing audits and maintenance, including NPI setup, DEA validation, EPCS readiness, remote user status, and resident/facility access.
- Track provider onboarding, new facility launches, re-credentialing needs, and ongoing compliance requirements.
- Maintain credentialing spreadsheets, trackers, audit logs, and status reports; escalate urgent credentialing or EMR access issues.
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