Role Description The Facility Credentialing Specialist is responsible for coordinating and managing the credentialing and privileging process for healthcare providers across skilled nursing facilities (SNFs), assisted living facilities (ALFs), long-term acute care hospitals (LTACHs), inpatient rehabilitation facilities (IRFs), and other post-acute healthcare facilities. This position serves as the primary liaison between providers, facility medical staff offices, and internal departments to ensure timely processing of facility applications and reappointments. Working in a remote environment, the Facility Credentialing Specialist maintains a high-volume portfolio of approximately 100-120 active facility privileging applications while utilizing credentialing software and established workflows to ensure accuracy, compliance, and timely completion. - Prepare, complete, and submit facility credentialing and privileging applications for physicians, advanced practice providers, psychologists, therapists, and other licensed healthcare professionals. - Manage a portfolio of up to 120 active facility applications and reappointments simultaneously while meeting established turnaround expectations. - Monitor application status and proactively follow up with facility medical staff offices to expedite processing. - Coordinate directly with providers to obtain required documentation, signatures, licensure updates, and other supporting information, in partnership with HR team/processes. - Maintain accurate files and electronic records within credentialing software. - Track expiration dates for licenses, certifications, DEA registrations, malpractice insurance, and other required documents. - Ensure all applications are complete, accurate, and submitted in accordance with individual facility requirements. - Communicate application status and outstanding items to providers and internal leadership weekly. - Respond promptly to facility requests for additional documentation or clarification. - Maintain confidentiality of provider information in accordance with HIPAA and organizational policies. - Assist with process improvement initiatives to increase efficiency and reduce credentialing turnaround times. - Support special credentialing projects and other administrative duties as assigned. Qualifications - High school diploma or equivalent required. - Minimum of one (1) year of healthcare administrative experience required. - Credentialing, medical staff services, provider enrollment, or healthcare operations experience preferred. - Experience working with MedTrainer software preferred but not required. - Extreme Tech proficiency overall, with strong skills in Microsoft Office Suite, including Outlook, Excel, Word, and Adobe Acrobat. - Strong computer skills and ability to learn new software systems quickly. Requirements - Pro-active & Positive attitude is a must! - Willingness to pick up the phone and contact people is key for this position. - Excellent organizational and time management skills. - Ability to manage multiple deadlines and competing priorities simultaneously. - Strong attention to detail with a high degree of accuracy. - Excellent written and verbal communication skills. - Ability to work independently in a remote environment while maintaining productivity and accountability. - Professional customer service skills when interacting with providers and facility personnel. - Strong problem-solving and critical-thinking abilities. - Ability to maintain confidential information with discretion. - Familiarity with post-acute healthcare environments is preferred. Work Environment - Fully remote position. - Standard business hours, Monday through Friday 8am-5pm. - Occasional extended hours may be required to meet business needs. - Primarily sedentary work (at a desk/in front of a computer), requiring prolonged computer use. Performance Expectations - Timely completion of facility credentialing applications. - Accuracy and completeness of submitted applications. - Credentialing turnaround times. - Provider and facility satisfaction. - Maintenance of current provider credential files. - Compliance with organizational policies and regulatory requirements. - Effective management of an assigned portfolio of up to 120 concurrent facility applications. Preferred Experience - Candidates with experience supporting multi-specialty provider groups serving skilled nursing facilities, assisted living communities, rehabilitation hospitals, or other post-acute care settings are strongly preferred. - This can also be an entry-level position for the right person! Salary Range $40,000–$50,000 annually, commensurate with experience and qualifications.

• Develop a comprehensive understanding of the current processes, procedures, and tools associated with credentialing. • Interact daily with providers or internal Oscar teams according to assignment needs • Manage an assigned caseload while maintaining service delivery, productivity, and quality expectations • Form working relationships with internal and external stakeholders. • Support the leadership team by identifying issues through established escalation pathways • Be accountable for monitoring and tracking the health of all assigned work-in-progress issues. • Escalate and resolve issues to ensure appropriate turnaround times • Be an active participant in process improvement initiatives • Comply with all operational, regulatory, and compliance standards relating to member Personal Health Information (PHI) • Compliance with all applicable laws and regulations • Other duties as assigned

• The Specialist II, Credentialing helps guide advanced placement newly entering their experiential learning course learners through their final credentialing needs to help support learners in the successful completion of the Experiential Learning (EL)program. • The incumbent will provide guidance on navigating credentialing systems, and be a key point of contact regarding credentialing needs for Direct Focused Care (DFC). • Provides exceptional customer service to a larger group learners while helping to navigate the College Catalog, credentialing systems, requirements from the Center of Disease Control (CDC), purchase and completion of background checks and drug screens, and build transparency and understanding of expectations during the completion of the program. • Collaborates cross-functionally to facilitate the onboarding of credentialing for new admission to the College. • Guides learners in creating their profile within the credentialing portals. • Contacts learners to assist in maintaining and restoring credentialing compliance. • Reviews compliance in multiple systems to complete audits and determine appropriate contact and action. • Participates in additional training and compliance activities to promote additional learning and understanding of credentialing processes and policies. • Provides guidance to fellow collaborators and learners on policies, procedures, and the requirements for experiential learning courses to attend their on-ground experience. • Participates in the successful implementation of other functional projects as they arise.

• Complete enrollment/credentialing and re-credentialing applications • Maintain a detailed log of all pending and completed work • Communicate the results and status of the applications to physicians, payers, managers, and co-workers. • Maintenance of physician enrollment and CAQH profiles • Documentation within enrollment database • Coordinate signatures • Payer processing and research • Involves extensive phone work and internet. • Research and resolve claim issues related to physician enrollment. • Other tasks as needed.