Facility Credentialing Specialist

Curana Health

. Evaluate facility credentialing applications for accuracy and completeness based on specialty requirements .

Posted 10/22/2026full-timeRemote • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in evaluating facility credentialing applications, ensuring compliance with regulatory standards, and maintaining accurate credentialing software systems. Strong communication skills and attention to detail are essential for engaging with facilities and preparing reports for the Credentialing Committee.

Highest-signal resume keywords

Credentialing ExperienceRegulatory ComplianceMicrosoft Excel ProficiencyAttention To DetailVerbal And Written Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Credentialing EvaluationData CorrectionFacility Information ManagementRecredentialing Application ProcessingReport Generation

Soft Skills

Team-OrientedFlexibleConfidentiality Maintenance

Tools & Technologies

Credentialing Software SystemsCredentialing DatabasesMicrosoft Word

Certifications & Qualifications

Healthcare Credentialing Certification

Industry Keywords

Facility CredentialingRegulatory StandardsSanctions/Exclusions ReportsLicenses MonitoringDEA Certificates

About the role

Key responsibilities & impact

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

What you’ll need

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)