Credentialing Specialist

About This Role

This on-site role in Morgantown, WV, involves managing and coordinating credentialing activities for medical staff and allied health professionals. The specialist ensures compliance with organizational, state, and federal requirements, working in a collaborative environment that supports professional growth and high-quality patient care.

Responsibilities

• Process applications
• Verify qualifications
• Maintain accurate credentialing records
• Monitor expirations and renewals
• Collaborate with medical staff services, providers, and internal departments to resolve credentialing issues and support timely onboarding
• Assist with audits, reporting, and adherence to Medicare and other payer standards

Requirements

• Skills in credentialing and medical staff credentialing, including application processing, verification, and compliance monitoring
• Strong communication and customer service skills to interact effectively with providers, colleagues, and external agencies
• Knowledge of Medicare and related regulatory and payer requirements
• Attention to detail, organizational skills, and the ability to manage multiple priorities in a fast-paced environment
• Proficiency with credentialing databases, Microsoft Office, and electronic record systems
• Prior experience in healthcare credentialing, medical staff services, or a related field is preferred
• Associate

Nice to have:

• Bachelor
• Certification in credentialing (e.g., CPCS or CPMSM)

About the Company

Mon Health is part of Vandalia Health and is recognized for compassionate care, clinical excellence, and a strong focus on education and training. As an employer of choice, Mon Health is committed to enhancing the health of the communities it serves. Vandalia Health Mon includes Vandalia Health Mon Medical Center, Vandalia Health Preston Memorial Hospital, Vandalia Health Mon Stonewall Jackson Memorial Hospital, and Vandalia Health Mon Marion Neighborhood Hospital, along with several affiliates.