Facility Credentialing Specialist

🔥 3 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 10%

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Curana Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

🤝 B2B

⚕️ Healthcare Insurance

Healthcare • B2B • Healthcare Insurance

Curana Health is a healthcare provider focused on senior primary care and on-site clinical services in skilled nursing and senior living communities. The company partners with operators, payors, and Medicare Advantage plans to implement value-based care models, offering physician-led care teams, medical director services, care coordination (including RPM and APCM), behavioral health, and palliative care. Curana emphasizes reducing hospital readmissions, falls, and polypharmacy while improving resident satisfaction through integrated, community-based care supported by technology and payor partnerships.

📋 Description

• Evaluate facility credentialing applications for accuracy and completeness based on specialty requirements • Obtain necessary verifications and ensure compliance with regulatory standards • Engage with facilities to clarify credentialing questions and obtain missing application information • Update and maintain credentialing software systems with facility information • Perform data corrections and ensure files are complete and up to date • Request and follow up on recredentialing applications • Monitor facility expiration dates for licenses, DEA certificates, and other documentation • Present summary reports to the Credentialing Committee monthly • Review federal and state sanctions/exclusions reports • Generate and distribute credentialing reports to internal teams • Prepare and send approval notices, requests for additional information, and termination notices as required by the Credentialing Committee • Assist the contracting department with credentialing support • Provide ongoing status updates on facilities' credentialing status

🎯 Requirements

• High school diploma required • Additional certification or experience in healthcare credentialing is a plus • Prior experience in credentialing or related field preferred, but not required • Proficient in Microsoft Excel and Word • Familiarity with credentialing databases is a plus • Strong attention to detail and ability to maintain confidentiality • Flexible, team-oriented, and capable of working with minimal supervision • Strong verbal and written communication skills • Must be able to work without visa sponsorship; the company is unable to provide sponsorship for a visa at this time (H1B or otherwise)