Credentialing Specialist

About This Role

This specialist role is vital to ensuring provider compliance and patient safety by managing the full lifecycle of provider credentialing within a fast-paced hospital environment. It suits a detail-oriented professional dedicated to maintaining rigorous standards.

Responsibilities

• Execute initial appointments, reappointments, and clinical privileging for medical and allied health staff
• Perform primary source verification and maintain rigorous data integrity using MDStaff software
• Ensure all provider files meet hospital bylaws and accrediting agency standards

Requirements

• Proven credentialing experience within a hospital, medical practice, or healthcare facility
• Familiarity with CAQH, payer enrollment, and privileging processes
• Direct experience with the entire credentialing process, including re-credentialing and renewals
• Strong background in primary source verification and provider file tracking
• High school diploma or equivalent (Required)
• 1 year of credentialing experience (Required)
• 1 year of hospital experience (Required)

Important Details

• Schedule: Monday -Friday, 9:00 AM
• 5:00 PM (35 hours/week)

Application Process

To be considered, please ensure your resume clearly highlights:

• Total years of credentialing experience
• Types of providers you have credentialed (e.g., Physicians, NPs, PAs)
• Specific re-credentialing responsibilities
• The healthcare settings you have supported (e.g., Acute Care, Private Practice)