Position Overview
The Facility Credentialing Specialist supports credentialing and re-credentialing activities for healthcare providers across multiple states, including anesthesiologists, CRNAs, nurse practitioners, and other allied health professionals. This role is responsible for ensuring providers meet facility and regulatory requirements to maintain active privileges and timely start dates.
The ideal candidate is highly organized, detail-oriented, and technologically proficient, with experience managing credentialing workflows through electronic credentialing platforms and facility portals. This position requires the ability to manage multiple deadlines, maintain compliance, and communicate effectively with providers, facilities, and internal stakeholders in a fast-paced healthcare environment.
Key Responsibilities
- Complete initial credentialing, re-credentialing, privileging, and appointment applications through facility credentialing systems and portals.
- Maintain accurate provider records, including licenses, certifications, DEA registrations, malpractice insurance, immunizations, and other required documentation.
- Monitor credentialing timelines, expirations, reappointments, and compliance requirements to ensure uninterrupted provider privileges.
- Upload, organize, and maintain electronic credentialing files and supporting documentation within credentialing systems and shared repositories.
- Communicate with medical staff offices, healthcare providers, insurance carriers, and internal teams regarding application status, deficiencies, and follow-up requirements.
- Track and follow up on outstanding documentation, verifications, renewals, and onboarding requirements to support timely approvals and provider start dates.
- Complete malpractice insurance applications and assist with policy renewals and related documentation as needed.
- Utilize reporting tools and credentialing systems to monitor workflow progress, identify delays, and support operational efficiency.
- Assist with troubleshooting credentialing workflow issues and recommend process improvements to enhance accuracy and turnaround times.
- Maintain confidentiality of provider and organizational information in accordance with HIPAA and company policies.
- Ensure compliance with facility bylaws, accreditation standards, payer requirements, and regulatory guidelines.
Skills and Competencies
- Strong understanding of healthcare credentialing, privileging, reappointment, and provider enrollment processes.
- Experience utilizing credentialing platforms such as Credential, Stream, IntelliCred, MD-Staff, Cactus, Modio, or similar systems strongly preferred.
- Advanced organizational skills with the ability to manage multiple providers, deadlines, and priorities simultaneously.
- Strong attention to detail and commitment to data accuracy and compliance.
- Excellent written and verbal communication skills with a customer-service-oriented approach.
- Strong technical proficiency in Microsoft Outlook, Word, Excel, Adobe Acrobat, and electronic document management systems.
- Ability to work independently, prioritize effectively, and adapt in a fast-paced remote or hybrid environment.
- Analytical and problem-solving skills with the ability to identify workflow gaps and process improvements.
Education and Experience
- Minimum of three (3) years of credentialing experience in a healthcare, medical services, or provider enrollment environment required.
- Experience supporting hospital and ambulatory surgery center credentialing processes preferred.
- Knowledge of healthcare regulatory and compliance standards related to credentialing preferred.
- High school diploma or equivalent required; associate's or bachelor's degree preferred.
Benefits
Coronis Health offers a comprehensive benefits package to support the well-being and success of our employees, including:
- Medical, dental, and vision insurance
- 401(k) plan with employer contributions
- Paid time off (PTO) and paid holidays
- Employee assistance program (EAP)
- Professional development opportunities
Benefits may vary based on employment status.
Additional Information
This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve.
Coronis Health is committed to creating a diverse and inclusive environment where all employees are treated fairly and with respect. We are an equal-opportunity employer, providing equal opportunities to all applicants and employees regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or any other protected characteristic. We welcome and encourage applications from candidates of all backgrounds.