Healthcare Credentialing Specialist

LimitlessLi LLC; Manila; Remote; PHP 3,769,000 - 5,402,000; Full time

Benefits offered by this job

Remote work from home

Job summary

Limitlessli is seeking an experienced Healthcare Credentialing Specialist to manage facility credentialing, privileging, and provider access workflows for physicians, Nurse Practitioners, and Physician Assistants across multiple SNF locations nationwide.

The ideal candidate has strong attention to detail, excellent communication, healthcare credentialing experience, and the ability to manage high-volume requests in a fast-paced environment. This position is remote with US EST hours.

Qualifications

• Minimum 4 years of healthcare credentialing experience required.
• Experience with SNF, long-term care, telehealth, or multi-state credentialing preferred.
• Strong knowledge of credentialing, privileging, provider enrollment, and compliance documentation.
• Experience with PCC/EMR systems preferred.

Responsibilities

• Manage end-to-end facility credentialing and privileging for providers across multiple SNF locations nationwide.
• Prepare, submit, and track credentialing applications and privileging requests.
• Coordinate with facility contacts and management to resolve credentialing and access issues.
• Maintain provider credentialing files including licenses, registrations, and documentation.
• Conduct follow-up to ensure timely credentialing submissions and approvals.
• Manage PCC and EMR access including provider login setup and profile verification.
• Escalate urgent credentialing or EMR access issues affecting coverage or go-live timelines.
• Ensure compliance with company policies and regulatory guidelines.

Skills

Credentialing

Multistate licensure

PCC/EMR

Excel/SharePoint

Communication

Tools

PCC/PointClickCare

EMR systems

Job description

The Opportunity:

We are seeking an experienced Healthcare Credentialing Specialist to manage facility credentialing, privileging, and provider access workflows for medical providers, Nurse Practitioners, and Physician Assistants across numerous Skilled Nursing Facility locations nationwide. This role is responsible for coordinating credentialing submissions, maintaining provider compliance and credentialing records, completing follow-ups with facility contacts, and ensuring providers are properly credentialed, privileged, and set up with the necessary EMR/PCC access to support patient care.

The ideal candidate has strong attention to detail, excellent communication skills, healthcare credentialing experience, and the ability to manage multiple provider and facility requests in a fast-paced environment.

This position is remote and offers you the flexibility of working from home.

Role & Core Responsibilities:

• Manage end-to-end facility credentialing and privileging for physicians, Nurse Practitioners, and Physician Assistants across multiple SNF facilities for Tele Health nationwide.
• Prepare, submit, and track credentialing applications, facility packets, provider documents, and privileging requests.
• Coordinate directly with facility contacts, administrators, regional teams, and internal management to resolve credentialing, access, and compliance-related issues.
• Maintain accurate and up-to-date provider credentialing files, including licenses, DEA registrations, board certifications, malpractice coverage, NPDB reports, CAQH profiles, CVs, and other required documentation.
• Conduct ongoing follow-up with facilities to ensure credentialing submissions are reviewed, processed, approved, and completed in a timely manner.
• Manage providers PCC and other EMR access, including provider login setup, Medical Professional profile verification, etc.
• Perform PCC login credentialing audits and maintenance to confirm providers have appropriate access, including NPI setup, DEA validation, EPCS readiness, remote user status, and resident/facility access.
• Partner with management, operations, scheduling, implementation, and facility teams to communicate provider credentialing status, access readiness, and outstanding barriers.
• Track provider onboarding, new facility launches, re-credentialing needs, and ongoing compliance requirements.
• Maintain organized credentialing spreadsheets, trackers, audit logs, and status reports to ensure visibility across internal teams.
• Escalate urgent credentialing or EMR access issues that may impact provider coverage, patient care, or facility go-live timelines.
• Ensure all credentialing activities comply with company policies, facility requirements, regulatory standards, and applicable state/federal guidelines.
• Support process improvements, workflow standardization, and documentation of credentialing procedures for multi-state facility operations.

Qualifications:

• Minimum of 4 years of healthcare credentialing experience required; experience with SNF, long-term care, telehealth, or multi-state provider credentialing strongly preferred.
• Experience credentialing medical providers, Nurse Practitioners, and Physician Assistants.
• Strong knowledge of facility credentialing, privileging, provider enrollment, and compliance documentation.
• Experience working with PCC/PointClickCare or other EMR systems preferred.
• Understanding of provider licenses, DEA registrations, controlled substance registrations, prescriptive authority, malpractice coverage, and credentialing file requirements.
• Ability to manage high-volume credentialing requests across multiple states and facility groups.
• Strong written and verbal communication skills with the ability to coordinate professionally with internal leadership and external facility contacts.
• Excellent organization, follow-up, problem-solving, and time-management skills.
• Ability to work independently, prioritize urgent issues, and maintain accuracy in a fast-paced environment.
• Proficiency with Microsoft Excel, SharePoint, credentialing trackers, and other administrative systems.

Service Fee:

Industry standards applicable to the state depending on work experience and level of expertise.

Hours:

US Eastern Standard Time (EST) – 9am to 6pm

Why Limitlessli?

We embrace the flexibility and convenience of a remote working environment, and you will collaborate with an international team while contributing to our growing business, all from the comfort of your home.

Essential requirements:

You will need to have some essential tools – a reliable computer and noise-canceling headset, a second monitor for enhanced productivity, and a stable internet connection. You’ll also be required to have a backup internet connection, ensuring that you’re well-equipped to complete your work seamlessly.