Credentialing Specialist

NEUROMONITORING ASSOCIATES LLC

3d • Hybrid

About The Position

The Credentialing Specialist is responsible for managing hospital facility credentialing, state medical licensing, and provider enrollment processes. This role is essential in ensuring that all providers meet the necessary standards and maintain compliance with federal, state, and facility guidelines.

Requirements

• High School diploma or equivalent
• Strong oral and written communication skills, both over the phone and in person or remotely.
• Friendly, helpful, and positive team attitude.
• Responsible, dependable, and organized with a strong work ethic and flexibility.
• Demonstrate objectivity, professionalism, integrity, and honesty in interactions with people at all levels.
• Basic office skills, including typing and 10-key abilities.
• Knowledgeable in multiple Microsoft OSs, VOIP, and the MS Office Suite (Outlook, Excel, Word, PowerPoint, Teams).
• Capable of working independently with minimal supervision.
• Self-motivated problem-solver with sound judgment for making independent decisions.

Nice To Haves

• IONM or OON experience is preferred but not required.
• Qualified or certified for the National Association of Medical Staff Services (NAMSS), Certified Provider Credentialing Specialist (CPCS), or Certified Professional Medical Services Management (CPMSM) is preferred but not required.
• Experience with Federation of State Medical Boards (FSMB), Federation Credentials Verification Service (FCVS), National Practitioner Data Bank (NPDB), U.S. Department of Health & Human Services Office of Inspector General Exclusion List (HHS OIG), VeriDoc, Interstate Medical Licensure Compact Commission (IMLCC), American Medical Association Physician Profiles (AMA Profiles), Council for Affordable Quality Healthcare ProView (CAQH ProView), Availity and other verification sites.

Responsibilities

• Coordinate the credentialing and re-credentialing process for providers at participating facilities across multiple states.
• Manage and complete provider enrollment tasks for providers and other staff as needed.
• Prepare reports and case logs to ensure that providers and staff meet facility, federal, and state guidelines according to Joint Commission standards.
• Perform Primary Source verification on all providers in compliance with Joint Commission standards and company policies.
• Maintain and organize credential files for medical and technologist staff, including state medical licenses, Continuing Medical Education (CME), Certificate of Insurance (COI), immunizations, medical education documents, board certifications, CVs/resumes, etc.
• Utilize credentialing software and electronic platforms for tracking applications and updating hospital affiliations and provider enrollment information.
• Maintain credentialing calendars to ensure timely renewals of supporting credentials.
• Apply for and maintain Interpreting Physician state licensure.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED