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Credentialing Specialist

Credentialing Specialist

FabricNew York, New York, United States, 10001
1 day ago
Job type
  • Full-time
  • Quick Apply
Job description

About Fabric HealthAt Fabric Health, we're not just building technology; we're fixing healthcare's capacity problem. Our mission is to power healthcare to move faster, work smarter, and deliver better care, creating seamless, intuitive experiences that simplify and unify virtual and in-person care for thousands of providers and millions of patients nationwide. We're a team of brilliant, thoughtful minds, deeply motivated by improving patient and provider lives, and we believe technology can truly enhance the US healthcare system.

Trusted by leading healthcare organizations : Our customers include Luminis Health, OSF HealthCare, MUSC Health, and Intermountain.

We are backed by leading investors such as Thrive Capital, GV (Google Ventures), General Catalyst, Salesforce Ventures, Vast Ventures, BoxGroup, and Atento Capital. We value working quickly for good reason, listening deeply to solve big challenges, and building products like we would for loved ones.

About the RoleThe Credentialing Specialist will be an integral member of the team, responsible for managing the internal and external credentialing process for our medical staff. This role is crucial for managing and verifying provider credentials, monitoring and reviewing monthly expiring documents (expirables), and maintaining provider profiles in our Credentials Maintenance System. Your expertise will be essential in ensuring continuous compliance with company, state, federal, and regulatory guidelines, and you will be a key liaison coordinating with outside vendors and customers.

What You'll DoAs a Credentialing Specialist, you will ensure our medical staff licenses remain active and compliant with clients and payors. Your primary responsibilities will include :

  • Licensing Applications : Request and facilitate initial and renewal licensing applications, ensuring compliance with all state and federal regulations.
  • Supervisory Agreements : Pre-fill and complete State and employer specific Supervisory Agreements as required.
  • Records Management : Maintain accurate and up-to-date credentialing files and records in credentialing systems, actively tracking expiration dates and renewal deadlines.
  • Proactive Compliance : Proactively track and process renewals for licenses and certifications, conduct audits, and report compliance status to leadership.
  • Verification : Review and verify professional licenses, certifications, education, work experience, etc.
  • Vendor Profile Management : Maintain accurate and up to date clinician vendor profiles and ensure timely completion of vendor new and renewal licensing application requests.
  • Audit Support : Request and distribute Malpractice COI’s and assist with internal and external audits by providing or collecting necessary documentation.
  • External Coordination : Assist with customer and payor applications.

Why You Might Be a Good Fit

  • You are highly organized and detail-oriented, with a clear ability to manage multiple complex tasks and priorities simultaneously.
  • You possess a keen understanding of medical credentialing requirements and compliance guidelines.
  • You are comfortable working independently and taking ownership of critical compliance cycles and deadlines.
  • You have excellent communication and interpersonal abilities, which enable you to coordinate effectively with outside vendors and internal customers.
  • You are motivated by the stability and adherence required in a regulated healthcare environment.

    • This Might Not Be The Right Fit If...

  • You prefer a role where focus is on a single task rather than managing and tracking multiple concurrent compliance cycles.
  • You are not comfortable with the level of administrative detail required for accurate credentialing files and profile maintenance.
  • You lack experience coordinating or communicating with outside vendors and customers for documentation purposes.
  • You prefer a highly collaborative team setting over one that requires significant ability to work independently.

    • Your Qualifications

  • Bachelor’s degree or minimum of 2 years experience in medical licensing and / or credentialing.
  • Attention to detail and ability to manage multiple tasks simultaneously.
  • Ability to work independently and as part of a team.
  • Excellent organizational and time management skills.
  • Excellent communication and interpersonal abilities.
  • An understanding of medical credentialing requirements.

    • Bonus Points

  • Knowledge of credentialing terminology.

    • The national pay range for this role is $50,000.00 – $75,000.00 per year. Actual compensation will be determined by factors such as the candidate's geographic market, experience, skills, and qualifications. Certain roles may also be eligible for additional compensation, including a comprehensive benefits package such as medical, dental, vision, unlimited PTO, and a 401(k) plan, stock options and bonuses. If your compensation requirement is greater than our posted range, please still consider applying; a determination can be made based on unique qualifications. Expected compensation ranges for this role may change over time.

    Learn more about Fabric

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  • Careers Page

    • At Fabric, we believe that a diverse workforce is essential to our success. We are an equal opportunity employer and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, veteran status, or any other legally protected characteristic. We actively encourage individuals from all backgrounds to apply.#LI-Remote

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    Credentialing Specialist • New York, New York, United States, 10001