About The Position

Seeking an experienced Healthcare Credentialing Specialist to manage and coordinate all aspects of provider credentialing and medical staff services. This role ensures compliance with regulatory standards while maintaining accurate and up-to-date provider records.

Requirements

  • Bachelor’s Degree (required)
  • Proven experience as a Healthcare Credentialing Specialist
  • Experience credentialing physicians and healthcare providers
  • Strong understanding of credentialing processes, compliance, and regulatory standards
  • Excellent organizational and attention-to-detail skills
  • Experience with credentialing software systems (e.g., MDStaff or similar)
  • Proficiency in maintaining databases and managing documentation
  • Ability to generate reports and track credentialing status

Nice To Haves

  • Familiarity with hospital credentialing policies and medical staff bylaws
  • Experience working with accrediting and regulatory agencies

Responsibilities

  • Manage full-cycle provider credentialing and re-credentialing processes
  • Perform primary source verification for new and existing providers
  • Facilitate provider appointments, reappointments, and clinical privileging
  • Maintain and update physician and provider credentialing files
  • Ensure data accuracy and integrity within credentialing systems
  • Monitor credentialing timelines and compliance with regulatory requirements
  • Conduct credential audits and ensure adherence to hospital bylaws and policies
  • Track and manage license renewals to ensure timely compliance
  • Utilize credentialing software systems to manage workflows and documentation
  • Provide backup support to other credentialing team members as needed
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