Credentialing Specialist

IU Health • Roanoke, IN

14d

About The Position

The Credentialing Specialist supports Indiana University Health’s patient safety, quality, and regulatory compliance objectives by coordinating and executing credentialing and privileging activities for medical staff and licensed practitioners. The role conducts primary source verification; facilitates initial appointments, reappointments, and privileging; supports ongoing professional practice evaluations; and maintains peer review documentation in accordance with Medical Staff Bylaws, organizational policies, accreditation standards, and applicable federal and state regulations.

The specialist evaluates credentialing information using critical thinking and professional judgment, identifies discrepancies and potential risk indicators, and ensures practitioner records are accurate and complete. The role maintains credentialing data in designated systems to support informed decision-making, compliance, and quality outcomes. It collaborates with physicians, advanced practice providers, medical staff leadership, and cross-functional stakeholders to support consistent, compliant, and efficient credentialing practices, medical staff governance, and organizational standards.

Requirements

• Bachelor’s degree or equivalent years of experience.
• 0–2 years of relevant experience.
• Proficiency in Microsoft 365 applications, including Word, Excel, PowerPoint, and Outlook.

Nice To Haves

• Working knowledge of credentialing software.

Responsibilities

• Conduct comprehensive primary source verification for medical staff and licensed practitioners.
• Facilitate initial appointments, reappointments, and privileging processes.
• Support ongoing professional practice evaluations.
• Maintain peer review documentation in accordance with Medical Staff Bylaws, organizational policies, accreditation standards, and federal and state regulations.
• Evaluate credentialing information, identify discrepancies and potential risk indicators, and ensure practitioner records are accurate and complete.
• Maintain credentialing data in designated systems to support decision-making, regulatory compliance, and quality outcomes.
• Collaborate with physicians, advanced practice providers, medical staff leadership, and cross-functional stakeholders to promote consistent, compliant, and efficient credentialing practices.
• Support medical staff governance functions and organizational standards.
• Demonstrate commitment to IU Health’s mission, vision, and values and align work with the organization’s strategic direction.
• Seek knowledge of department goals and operations and align work to achieve departmental goals.
• Adapt to changing job demands, priorities, and organizational structure, implementing guidance from leaders.
• Use critical thinking to connect information from various sources, improve problem solving, and distinguish questions, problems, and conflict.
• Maintain quality outcomes by following processes and systematically measuring effectiveness.
• Exercise sound professional judgment and diplomacy when handling unexpected problems and interruptions, and seek guidance when appropriate.
• Communicate clearly and professionally in oral and written formats, listen actively, seek clarification, and respond promptly to requests for information.

Benefits

• Access to opportunities for learning and development, including advanced clinical training, leadership development, promotion opportunities, and cross-training development.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level