Credentialing Specialist-ARMC(Day)FT

Adena Health•Chillicothe, OH

4d•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. Mission Statement: “Called to serve our communities”. Guiding Principle: “Let all that you do be done in love”. Vision: To be the region's most trusted partner in healthcare. Values: Compassion, Excellence, Integrity, and Trust. Position Highlights: Position: Credentialing Specialist Salary: Based on years of experience Work Life Balance: Full-Time | Day Shift Location/Department: Chillicothe Reports to: Misty Miller 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. Why Adena? Community-centered decision making Leadership visibility and cross-functional collaboration Competitive compensation and benefits Growth-focused culture Opportunity to influence real healthcare outcomes Does Adena offer growth opportunities? Growth at Adena isn’t one-size-fits-all. It’s built through relationships, mentorship, and opportunity. Caregivers are encouraged to explore career paths that fit their strengths and interests through: Emerging leader and leadership development programs Tuition assistance and education support Skill-building and lateral career opportunities Visibility with leaders who recognize potential early

Requirements

Bachelor's degree in a health-related field or equivalent experience
Experience in medical credentialing, health care administration, or related field
De-escalation training within 6 months.
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

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, verifying qualifications such as education, licensure status, certifications, or other credentials by directly contacting institutions, licensing boards and previous employers to validate the information provided is accurate and up-to-date.
Conduct thorough background checks to identify any potential risks or red flags that may impact patient safety.
Review privileges requested by the healthcare provider, compare to their education and training, contrasted with relevant experience to recommend if the individual is qualified to provide 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 the caregiver and facilities remain compliant with all certification and accreditation requirements.
Serve as a point of contact for credentialing related inquiries and assist in the preparation of necessary reports.
Update and maintain credentialing databases, schedule and attend meetings, data entry/integrity, record management and perform other administrative tasks as assigned.
Plays a key role in maintaining the integrity of healthcare delivery and protecting patient well-being.