Credentialing Specialist-Medical Staff Office

Trinity Health

5d•$25 - $33

About The Position

The Credentialing Specialist processes credentialing and re-credentialing applications for health care providers, reviews applications, prepares verification letters, and maintains the credentialing database. The role requires managing multiple situations and priorities, maintaining confidentiality, and working independently. The specialist supports medical staff functions and helps ensure compliance with accrediting and regulatory requirements.

Requirements

High school graduate or equivalent.
Knowledge of PC applications and appropriate software.
Knowledge of office equipment and supplies.
Understanding of department-related terminology.
Effective oral and written communication skills.
Strong interpersonal, motivational, organizational, and time-management skills.
Customer service orientation.
Ability to handle several situations simultaneously, prioritize work, maintain confidentiality, and work independently.

Nice To Haves

Business school or formal secretarial training.
Certified Provider Credentialing Specialist (CPCS) certification.
Certified Professional Medical Services Management (CPMSM) certification.

Responsibilities

Review applications and related data for accuracy and completeness.
Verify reappointment applications by preparing requests for information, tracking responses, and following up on missing information.
Obtain and maintain provider licensure, certification, and insurance certificates at reappointment.
Enter accurate, current applicant information into the database and respond to verification requests.
Assist with compliance with accrediting and regulatory agency requirements and maintain working knowledge of relevant statutes and laws.
Coordinate and prepare medical staff functions, including committee meetings, minutes, and correspondence.
Review, obtain, and manage expirable documents monthly according to rules and policies.
Help manage information flow among the Medical Staff Office team, Credentials and MEC Committee members, medical staff leadership, and the Vice President for Medical Affairs.
Assist the Medical Staff Services Manager with tasks such as copying, mailings, staff meetings, and preparation of minutes.
Participate in orientation, continuing education, education conferences, and in-services; maintain knowledge and skills in areas of expertise.