Senior Healthcare Credentialing Specialist (Remote)

Fpconcepts; United States; Remote; USD 65,000 - 80,000; Full time

Benefits offered by this job

Health, Dental and Vision Insurance

Group Life, Short Term Disability and

Long-Term Disability Insurance

401K with company match

Paid Time Off and Holidays

Job summary

FP&C is seeking a Healthcare Credentialing Specialist in the United States to manage credentialing for providers. You will handle initial and recredentialing files from intake to submission, ensuring accuracy, compliance, and timely processing in a remote home-office setting.

The role emphasizes QA, packet reviews, and adherence to standards across teams, supporting staff and stakeholders while meeting tight deadlines. Strong attention to detail and excellent communication are essential.

Qualifications

• Meticulous attention to detail in reviewing credentialing documents and data.
• Strong knowledge of provider credentialing processes and verification methods.
• Clear written and verbal communication with stakeholders and staff.
• Ability to balance caseloads with workflow oversight and deadlines.
• Experience with credentialing databases and MS Office tools.

Responsibilities

• Manage an individual caseload of initial credentialing and recredentialing files from application intake through submission for review.
• Provide day-to-day oversight of credentialing workflows and processes, coordinating priorities and helping address backlogs and processing delays.
• Review and audit credentialing packets for accuracy, completeness, consistency, and compliance with applicable requirements.
• Perform and document primary source verification of provider qualifications, including licensure, education, training, and certifications.
• Identify documentation gaps and discrepancies, obtain missing information, and maintain clear follow-up records to resolve items promptly.
• Complete required background and exclusion checks, document findings, and elevate adverse information for review.
• Monitor credentialing progress, turnaround times, and quality standards; communicate workload concerns and deadline risks.
• Maintain accurate credentialing databases and organized files, including verification dates, expiration dates, and status updates.
• Monitor expiring credentials and recredentialing deadlines, initiating follow-up early to prevent delays.
• Provide guidance and support to credentialing staff and stakeholders, clarifying procedures and assisting with onboarding and training.
• Identify recurring errors and process weaknesses; recommend improvements to increase efficiency and accuracy.
• Prepare status reports, support audits, and protect confidential provider information.

Skills

Attention to detail

Credentialing processes

Verification methods

Communication skills

Organizational skills

Prioritization

Job description

FP&C is seeking a Healthcare Credentialing Specialist in the United States to manage credentialing for providers. You will handle initial and recredentialing files from intake to submission, ensuring accuracy, compliance, and timely processing in a remote home-office setting.

The role emphasizes QA, packet reviews, and adherence to standards across teams, supporting staff and stakeholders while meeting tight deadlines. Strong attention to detail and excellent communication are essential.