CREDENTIALING SPECIALIST

Riverwood Healthcare Center

About The Position

Perform duties relating to provider credentialing and medical staff services as outlined in the Medical Staff Bylaws. This position supports the credentialing, privileging, enrollment, and ongoing compliance of medical staff and allied health professionals to ensure safe, high-quality patient care and adherence to state, federal, and accreditation requirements. The role collaborates closely with medical staff leadership, providers, payors, and internal departments to maintain accurate credentials, facilitate appointments, and support regulatory and reimbursement processes.

Requirements

  • Associate’s degree required, or an equivalent combination of education and relevant experience.
  • Previous experience in medical staff services, credentialing, and/or provider enrollment is preferred.
  • Certified Provider Credentialing Specialist (CPCS) certification preferred or must be obtained within three (3) years of hire.
  • Proficiency with computers and experience using electronic systems and databases; demonstrated ability to learn and use credentialing, enrollment, and office software applications.

Nice To Haves

  • Certified Provider Credentialing Specialist (CPCS) certification preferred or must be obtained within three (3) years of hire.
  • Previous experience in medical staff services, credentialing, and/or provider enrollment is preferred.

Benefits

  • health insurance
  • dental insurance
  • vision insurance
  • life insurance
  • a 401(k)-retirement plan
  • wellness benefits with on-site fitness center
  • a time off package to maintain a healthy home-work balance

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Education Level

Associate degree

Number of Employees

101-250 employees

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