Manage the full lifecycle of provider and facility credentialing for Skilled Nursing Facilities and Home Health Agencies. Ensure all providers meet regulatory, accreditation, and payer enrollment requirements while maintaining compliant records.
Requirements summary
Requires a minimum of 3 years of credentialing experience specifically for Home Health and Skilled Nursing Facilities. Proficiency in Microsoft Office and knowledge of NCQA, CMS, and Joint Commission standards are essential.
Many more employee perks and benefits Job Summary The Credentialing Specialist manages the full lifecycle of provider and facility credentialing for Skilled Nursing Facilities (SNFs), Home Health Agencies, ancillary providers, and individual practitioners. This role ensures all providers meet regulatory, accreditation, and payer enrollment requirements while maintaining accurate, compliant, and up‑to‑date credentialing records. The Credentialing Specialist partners closely with providers, payors, regulatory agencies, and internal teams to support timely onboarding, recredentialing, and ongoing compliance across the organization. QualificationsQualifications
Minimum 3 years of credentialing experience (providers, facilities, ancillary services)
Required experience credentialing for Home Health and Skilled Nursing Facilities (SNFs)
Knowledge of NCQA, CMS, and Joint Commission standards
Benefits
Accident Insurance
Dental Insurance
Disability Insurance
Life Insurance
Paid Time Off
Health Insurance
Vision Insurance
Competitive Pay
Sick Time
Career Growth Opportunities
401(k) With Company Match
CEU Reimbursement
Performance-based Bonus Opportunities
Proficiency in Microsoft Office (Outlook, Excel, Word, Access)
Strong understanding of credentialing processes, medical terminology, and payer types
Ability to maintain HIPAA compliance and confidentiality
Strong communication, organizational, and time‑management skills
Ability to manage high‑volume workloads and meet deadlines Preferred Qualifications
CPCS certification (or willingness to obtain within 2 years)
Experience with full‑cycle credentialing (CAQH, verifications, privileging, recredentialing)
Experience with CAQH, PECOS, NPPES, and payer enrollment portals
Experience credentialing physicians, allied health providers, and facilities (SNF, ASC, Home Health)
Strong problem‑solving and follow‑up skills Essential Functions
Manage end‑to‑end credentialing and provider enrollment processes
Perform primary source verification in compliance with accreditation standards
Track provider licensure, certifications, DEA, malpractice insurance, and other credentials
Monitor recredentialing cycles and ensure timely renewals
Serve as liaison between providers, payors, and internal stakeholders
Support credentialing committee preparation and documentation
Maintain accurate credentialing records and generate reporting metrics
Support provider and facility onboarding
Ensure compliance with regulatory, accreditation, and payer requirements
Assist with additional duties and projects as assigned We are an Equal Opportunity Employer. We offer an excellent benefit plan to include 401(k) with match, CEU reimbursement, vacation, sick time, holidays, medical, dental, and supplemental insurance plans, as well as a highly competitive compensation package.
