Remote Facility Credentialing Specialist

4 Corner Resources; Florida; Teletrabalho; USD 57 308 000 - 71 635 000; Tempo parcial

Resumo da oferta

4 Corner Resources is seeking an experienced Credentialing Coordinator for a fully remote role focused on facility and vendor credentialing across multiple states in a payer environment.

The position emphasizes regulatory compliance, network accuracy, and audit readiness, requiring meticulous attention to detail and strong organizational skills. You will collaborate with internal teams and vendors to ensure timely credentialing and issue resolution.

Qualificações

• High school diploma or GED.
• 5+ years of credentialing experience with facility focus in managed care.
• Experience with hospitals, clinics, or healthcare facilities.
• Strong attention to detail and organizational skills.
• Clear written and verbal communication.
• Authorization to work in the U.S. without sponsorship.
• Reside in AL, FL, GA, IN, IA, KS, LA, MS, NC, NE, NV, NH, NJ, NY, OK, SC, SD, TN, TX, VA, WV, WY.

Responsabilidades

• Perform end-to-end facility and vendor credentialing per policies and regulations.
• Verify and maintain facility licensure, accreditation, certifications, and compliance docs.
• Prepare credentialing files, reports, and summaries for review and committee approval.
• Support facility oversight, regulatory and vendor audits.
• Maintain accuracy of provider and facility directory data for compliance.
• Collaborate with internal teams and external vendors to ensure timely credentialing.
• Track, document, and resolve credentialing discrepancies; escalate issues as needed.
• Identify opportunities to improve credentialing workflows and turnaround times.

Conhecimentos

Attention to detail

Organizational skills

Written and verbal communication

Formação académica

High School Diploma or GED

Bachelor's degree

Ferramentas

Microsoft Office

Adobe

Access

CAQH

SAS

SQL

Descrição da oferta de emprego

4 Corner Resources is seeking an experienced Credentialing Coordinator for a fully remote role focused on facility and vendor credentialing across multiple states in a payer environment.

The position emphasizes regulatory compliance, network accuracy, and audit readiness, requiring meticulous attention to detail and strong organizational skills. You will collaborate with internal teams and vendors to ensure timely credentialing and issue resolution.