Healthcare Credentialing Specialist

Job not on LinkedIn

🔥 13 hours ago

🇵🇭 Philippines – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

✨ Credentialing Specialist

👻 Ghost score 19%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Limitlessli

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Limitlessli is a company that specializes in providing offsite staffing solutions for healthcare facilities. They offer customized staffing services for clinical and non-clinical roles, aiming to reduce operational costs and enhance efficiency. With a focus on remote staffing, Limitlessli supports healthcare operations by ensuring compliance with CMS, DOH, and other regulatory agencies through their Active Review Protocols (ARPs™). They provide MDS consulting services and cater to a wide array of healthcare settings including skilled nursing facilities, home healthcare, urgent care centers, and telehealth, among others. Their solutions are designed to increase ROI, offer scalable staffing options, and minimize stress for their clients.

📋 Description

• Manage end-to-end facility credentialing and privileging for physicians, Nurse Practitioners, and Physician Assistants across multiple Skilled Nursing Facility locations • 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, CVs, and other documentation • Follow up with facilities to ensure credentialing submissions are reviewed, processed, approved, and completed timely • Manage PCC and other EMR access, including provider login setup and Medical Professional profile verification • Perform PCC login credentialing audits and maintenance, including NPI setup, DEA validation, EPCS readiness, remote user status, and resident/facility access • Communicate provider credentialing status, access readiness, and outstanding barriers with management, operations, scheduling, implementation, and facility teams • 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 affecting provider coverage, patient care, or facility go-live timelines • Ensure 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

🎯 Requirements

• 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 • 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 • Reliable computer, noise-canceling headset, second monitor, stable internet connection, and backup internet connection • Availability to work US Eastern Standard Time (EST), 9am to 6pm

🏖️ Benefits

• Remote work from home • Flexible remote working environment • Reliable computer required • Noise-canceling headset required • Second monitor for enhanced productivity • Stable internet connection • Backup internet connection • Collaboration with an international team