Healthcare Credentialing Specialist

Company overview: Lumina Care is focused on unifying, coordinating, and managing care for geriatric patients in nursing facilities and at home. We offer a range of services to improve health outcomes and quality of life for patients, including afterhours telehealth, transitional care, chronic care, remote patient monitoring, behavioral health and telehealth psychiatry. Job title: Healthcare Credentialing Specialist Purpose/Summary: We are seeking an experienced Healthcare Credentialing Specialist to manage facility credentialing, privileging, and provider access workflows for medical providers, Nurse Practitioners, and Physician Assistants across numerous Skilled Nursing Facility locations nationwide. This role is responsible for coordinating credentialing submissions, maintaining provider compliance and credentialing records, completing follow-ups with facility contacts, and ensuring providers are properly credentialed, privileged, and set up with the necessary EMR/PCC access to support patient care. The ideal candidate has strong attention to detail, excellent communication skills, healthcare credentialing experience, and the ability to manage multiple provider and facility requests in a fast-paced environment. Role & Core Responsibilities:

• Manage end-to-end facility credentialing and privileging for physicians, Nurse Practitioners, and Physician Assistants across multiple SNF facilities for Tele Health nationwide.
• Prepare, submit, and track credentialing applications, facility packets, provider documents, and privileging requests.
• Coordinate directly with facility contacts, administrators, regional teams, and internal management to resolve credentialing, access, and compliance-related issues.
• Maintain accurate and up-to-date provider credentialing files, including licenses, DEA registrations, board certifications, malpractice coverage, NPDB reports, CAQH profiles, CVs, and other required documentation.
• Conduct ongoing follow-up with facilities to ensure credentialing submissions are reviewed, processed, approved, and completed in a timely manner.
• Manage providers PCC and other EMR access, including provider login setup, Medical Professional profile verification, etc.
• Perform PCC login credentialing audits and maintenance to confirm providers have appropriate access, including NPI setup, DEA validation, EPCS readiness, remote user status, and resident/facility access.
• Partner with management, operations, scheduling, implementation, and facility teams to communicate provider credentialing status, access readiness, and outstanding barriers.
• Track provider onboarding, new facility launches, re-credentialing needs, and ongoing compliance requirements.
• Maintain organized credentialing spreadsheets, trackers, audit logs, and status reports to ensure visibility across internal teams.
• Escalate urgent credentialing or EMR access issues that may impact provider coverage, patient care, or facility go-live timelines.
• Ensure all credentialing activities comply with company policies, facility requirements, regulatory standards, and applicable state/federal guidelines.
• Support process improvements, workflow standardization, and documentation of credentialing procedures for multi-state facility operations.

The listed responsibilities are not an exhaustive list and may contain other duties as assigned. Consistent with the Americans with Disabilities Act (ADA), it is the policy of Lumina Care to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. Qualifications:

• Minimum of 4 years of healthcare credentialing experience required; experience with SNF, long-term care, telehealth, or multi-state provider credentialing strongly preferred.
• Experience credentialing medical providers, Nurse Practitioners, and Physician Assistants.
• Strong knowledge of facility credentialing, privileging, provider enrollment, and compliance documentation.
• Experience working with PCC/PointClickCare or other EMR systems preferred.
• Understanding of provider licenses, DEA registrations, controlled substance registrations, prescriptive authority, malpractice coverage, and credentialing file requirements.
• Ability to manage high-volume credentialing requests across multiple states and facility groups.
• Strong written and verbal communication skills with the ability to coordinate professionally with internal leadership and external facility contacts.
• Excellent organization, follow-up, problem-solving, and time-management skills.
• Ability to work independently, prioritize urgent issues, and maintain accuracy in a fast-paced environment.
• Proficiency with Microsoft Excel, SharePoint, credentialing trackers, and other administrative systems.

Working conditions: A designated, secure, and private home workspace is required for this remote role to ensure compliance with HIPAA and company privacy and security policies. This workspace must support confidential patient communications and prevent unauthorized access to protected health information. Typing is required and you will be required to use Company approved virtual technology to visualize patients during visits. A personally owned computer used for this role must meet all company-mandated security and encryption requirements as defined by the IT team. Company-provided security software, including platforms for patient video consultations, may need to be installed to ensure the device remains compliant with organizational data protection standards. Periods of prolonged sitting or standing can be expected. Travel requirements could occur based on specific state licensure and leadership needs. Compensation: $60,000 - $75,000 per year. Compensation is determined based on market range, experience, skills, education, and qualifications. List of other benefits. We offer a comprehensive and competitive benefits package to support our employees, including:

• Medical, Dental, and Vision Insurance
• Paid Time Off (PTO)
• Paid Holidays and Floating Holidays
• Flexible Work Arrangements and Remote Work Options

Summary: Lumina Care is an Equal Opportunity Employer. We consider all qualified applicants for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information, or any other characteristic protected by law. Pay: $60,000.00 - $75,000.00 per year Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Experience:

• healthcare credentialing: 4 years (Required)
• EMR systems: 4 years (Preferred)

License/Certification:

• Certified Provider Credentialing Specialist (Preferred)

Work Location: Remote Apply tot his job Apply To this Job