Credentialing Specialist (PSV Specialist)

Credentialing Verification Organization Specialist

Location: Remote, U.S.

Employment Type: Full-Time, Salaried, Exempt

Compensation: $40,000 - $45,000 annual salary range, depending on experience

Benefits: Generous PTO, employer-subsidized Medical, Dental, Vision, Disability, Life, HSA/FSA accounts, and 401(k) with 4% employer match

About the Company

In 2025, through the addition of several new business lines, Sentact expanded to form a truly unique company to strategically address a critical need for healthcare organizations specifically, offering an integrated suite of solutions to encompass patient safety, quality, experience, and regulatory readiness. From credentialing to peer review, to comprehensive rounding for safety and experience, to clinical analytics, incident reporting and a market-leading patient safety organization, Sentact's solutions address the pressing operational and regulatory challenges facing healthcare leaders today. And our story is still being written with the help of our customers. We will continue to evolve as we listen and respond to the needs of our customers, empowering them to reimagine the path to exceptional care.

About the Role

Sentact is seeking to fill a full-time position in our Credentialing Verification Organization (CVO). Our CVO Specialists provide primary source verification (PSV) services for physicians and other non-physician providers to assist our clients in making informed decisions in the privileging process.

Responsibilities

• Conducts, participates in, and maintains credentialing and privileging.
• Determines applicant's initial and reappointment eligibility for membership/participation.
• Compiles, evaluates, and presents the practitioner-specific data collected for review by one or more decision-making bodies.
• Analyzes applications and supporting documents for completeness and informs the practitioner and/or client of the application status, including the need for any additional information.
• Performs initial and reappointments for eligible practitioners and other eligible healthcare entities.
• Conducts, participates in, and maintains primary source verification (PSV).
• Provides client or designated representative with a completed, electronic formatted packet that reflects evidence of PSV and shall be current as of the date prepared by the source of the information.
• Obtains and evaluates information from primary sources necessary for verification and validation.
• Recognizes, investigates, and validates discrepancies and adverse information obtained from the application, primary source verifications, or other sources.
• Verifies and documents expirable credentials using acceptable verification sources to ensure compliance with accreditation and regulatory standards.
• Provides prompt responses to internal and external inquiries regarding status.
• Applies clearly defined credentialing or privileging processes to all practitioners, providers, and other eligible healthcare entities.
• Assist clients and providers by prefilling hospital privileging applications and sending to provider for final review and signature.
• Directs initial or reappointment processes for eligible practitioners, providers, and other eligible healthcare entities.
• Manages and complies with accreditation and regulatory standards.
• Obtains and evaluates practitioner sanctions, complaints, and adverse data to ensure compliance.
• Maintains an updated database to ensure accurate and current information is readily available.

Required Skills and Qualifications

• 2+ years' experience in credentials verification and hospital privileging with a solid understanding of the credentialing and privileging process
• Experience working with physicians and other healthcare professionals to obtain necessary information and documentation
• Excellent communication skills to interact with physicians, administrators, staff, and primary sources of information
• Ideal candidate must be self-motivated, capable of working independently to achieve production goals, and have attention to detail
• Able to work proficiently within multiple business applications including Microsoft Office, Adobe Acrobat, Microsoft Teams, and various credentialing software systems
• Maintains a strong sense of urgency, thoroughness, and meets or exceeds established deadlines

Other Requirements

• Qualified applicants must be authorized to work in the United States commit to perform all work in the United States
• Have a dedicated workspace in your residence that allows for privacy, minimal disruptions, and have adequate high-speed internet
• Work hours: Monday through Friday, hours flexible depending on assigned client(s) time zone and client needs

* We are unable to employ applicants located in the State of Hawaii at this time

Sentact provides equal employment opportunities to all employees and applicants for employment without regard to race, color, creed, ancestry, national origin, citizenship, sex or gender, gender identity or expression, sexual orientation, marital status, religion, age, disability, genetic information, service in the military, or any other characteristic protected by applicable federal, state, or local laws and ordinances.