Credentialing Specialist- (Days) FT

Adena Health•Chillicothe, OH

13h•Hybrid

About The Position

At Adena Health, professional roles shape the systems, strategy, and operational excellence that support patient care across Southern Ohio. These positions are a great fit for leaders and specialists who value purpose-driven work and community impact. Adena Health is a region's most trusted partner in healthcare, driven by values of Compassion, Excellence, Integrity, and Trust.

Requirements

Bachelor's degree in a health-related field or equivalent experience.
Must possess a valid National Association Medical Staff Services (NAMSS) Certification as a Certified Professional Medical Services Manager (CPMSM) or Certified Provider Credentials Specialist (CPCS); within two years from the date of hire and when meeting the eligibility criteria.
Experience in medical credentialing, health care administration, or related field.

Nice To Haves

Following an orientation period, with appropriate knowledge in hospital medical staff credentialing; employees, at the discretion of their supervisor, may have an opportunity for a schedule to include a remote/work from home. If approved to work from home, individual must hold a dedicated workspace free from distractions with reliable internet access and a strong understanding of company policies.

Responsibilities

Verify and assess the credentials of providers to ensure compliance with industry standards and regulatory requirements.
Review applications and verify qualifications such as education, licensure status, certifications, or other credentials by contacting institutions, licensing boards, and previous employers.
Conduct thorough background checks to identify potential risks or red flags.
Review privileges requested by healthcare providers, compare to their education and training, and contrast with relevant experience to recommend qualification for safe and competent patient care.
Ensure healthcare providers maintain their credentials by monitoring expiration dates of licenses and certifications.
Facilitate the process of updating credentials as required to ensure compliance with certification and accreditation requirements.
Serve as a point of contact for credentialing related inquiries.
Assist in the preparation of necessary reports.
Update and maintain credentialing databases.
Schedule and attend meetings.
Perform data entry and ensure data integrity.
Manage records.
Perform other administrative tasks as assigned.