Credentials II Provider Enrollment

University Health•Lakewood, CO

23h

About The Position

Make an Impact Behind the Scenes of Patient Care Every exceptional patient experience begins with exceptional providers — and behind every qualified provider is a credentialing professional who ensures quality, compliance, and excellence. We’re seeking a detail-oriented, highly organized Credentialist II to join our Medical Staff Services team. In this role, you will play a critical part in safeguarding patient safety, maintaining regulatory compliance, and supporting the integrity of our Medical Staff operations. If you thrive in a fast-paced healthcare environment, enjoy working with physicians and leadership, and have a strong eye for detail, we’d love to connect with you. What You’ll Do As a Credentialist II, you will manage the full lifecycle of medical staff credentialing activities, including: Credentialing & Compliance Perform all phases of credentialing for initial appointments and reappointments Verify licensure, BNDD, DEA, privileges, OPPE, FPPE, PI data, and other regulatory requirements Ensure compliance with Medical Staff Bylaws, Credentialing Plan, policies, and accrediting bodies Prepare files for audits (TJC, CMS, NCQA) and conduct compliance reviews Maintain and audit credentialing files (electronic and paper) Database & Reporting Maintain accuracy in the CACTUS database Track credentialing activities through logs and reporting tools Generate rosters, reports, queries, and credentialing documentation as needed Committee & Administrative Support Prepare application packets and credentialing correspondence Support Credentials Committee preparation and documentation Record, transcribe, and maintain Medical Staff meeting minutes as needed Assist with temporary privileges and affiliation verifications Provide administrative support to ensure smooth department operations Collaboration & Professionalism Build strong working relationships with physicians, department leaders, managed care staff, and administrative teams Promote quality improvement, patient safety, and cultural diversity Maintain current knowledge of applicable statutes, regulations, and compliance standards What You Bring

Requirements

High School Diploma or GED
3+ years of experience in: Medical staff credentialing OR managed care credentialing OR an academic medical center working with physicians and administrative processes
Strong computer proficiency and database experience
Exceptional attention to detail and accuracy
Ability to manage multiple deadlines and competing priorities
Experience taking minutes and supporting committees
Strong interpersonal skills and ability to work effectively with physicians and leadership
Ability to exercise independent judgment and diligence in credentialing activities

Nice To Haves

Medical center credentialing experience in a hospital setting

Responsibilities

Perform all phases of credentialing for initial appointments and reappointments
Verify licensure, BNDD, DEA, privileges, OPPE, FPPE, PI data, and other regulatory requirements
Ensure compliance with Medical Staff Bylaws, Credentialing Plan, policies, and accrediting bodies
Prepare files for audits (TJC, CMS, NCQA) and conduct compliance reviews
Maintain and audit credentialing files (electronic and paper)
Maintain accuracy in the CACTUS database
Track credentialing activities through logs and reporting tools
Generate rosters, reports, queries, and credentialing documentation as needed
Prepare application packets and credentialing correspondence
Support Credentials Committee preparation and documentation
Record, transcribe, and maintain Medical Staff meeting minutes as needed
Assist with temporary privileges and affiliation verifications
Provide administrative support to ensure smooth department operations
Build strong working relationships with physicians, department leaders, managed care staff, and administrative teams
Promote quality improvement, patient safety, and cultural diversity
Maintain current knowledge of applicable statutes, regulations, and compliance standards