Medical Staff Credentialing Specialist II - Atlantic Health Chilton Medical Center

Atlantic Health System•Morristown, NJ

About The Position

The Medical Staff Credentialing Specialist II manages credentialing and privileging activities, ensuring practitioners meet applicable requirements and that appointment and privilege recommendations are complete, accurate, and defensible. The role conducts initial and recredentialing primary-source verification, investigates discrepancies or adverse findings, evaluates clinical privilege requests against documented training and competence, and escalates significant concerns to clinical leadership. The specialist manages credentialing files and workflows from application intake through final Board action, maintaining compliance with Joint Commission, CMS, and NCQA standards and required timelines. Responsibilities include coordinating reviews and approvals by department leaders, the Credentials Committee, the Medical Executive Committee, and the Governing Board; recording committee actions; updating approved practitioner status; distributing approval communications; and coordinating EMR access and activation. The role also guides practitioners through credentialing and onboarding, communicates requirements and progress, coordinates with internal departments and external entities, and supports day-to-day Medical Staff Office operations. The specialist independently monitors quality and productivity metrics and contributes to workflow standardization and continuous improvement.

Requirements

High school diploma required.
Minimum 3 years of credentialing experience in a hospital or integrated healthcare system.
Experience with credentialing software database systems.
Demonstrated ability to analyze complex information, exercise sound judgment, and manage competing priorities.
Strong knowledge of Joint Commission, CMS, and NCQA standards.
Excellent communication and training skills, including the ability to provide constructive feedback.

Nice To Haves

Associate's or bachelor's degree in Business, Finance, Healthcare, or a related field.
Experience with Verity Credential Stream, Echo, MDStaff, or similar credentialing software.
CPCS or CPMSM certification.

Responsibilities

Conduct initial and recredentialing primary-source verification of education, clinical training, licensure, work history, healthcare affiliations, malpractice history, peer references, and other required elements.
Investigate and resolve discrepancies or adverse findings, analyze their context and significance, and escalate significant or unresolved concerns in accordance with policies.
Prepare clear, objective summaries of findings for clinical leadership and medical staff committees while ensuring investigations are consistent, confidential, and compliant with regulatory and accreditation standards.
Evaluate clinical privileging requests against established criteria and documented training, experience, competence, eligibility, specialized training, certifications, and case volume.
Ensure supporting documentation is complete and verified through primary sources, and support accurate, defensible privilege recommendations.
Route audited credentialing files electronically to department chiefs, chairs, or designees for review and recommendations.
Manage credentialing workflows and timelines from application intake through final Board action, ensuring files are complete, accurate, and audit-ready and addressing delays or escalating issues.
Coordinate practitioner files through Credentials Committee, Medical Executive Committee, and Governing Board review and approval stages, and accurately document committee actions.
Update credentialing systems after approval, prepare and distribute Board approval communications, and coordinate with IT and operational teams to arrange EMR access and practitioner activation.
Guide practitioners through credentialing requirements, assist with document collection, provide status updates, and address questions or barriers to support timely onboarding.
Collaborate with clinical departments, HR, legal, licensing boards, malpractice carriers, and other stakeholders to exchange information and resolve credentialing issues.
Coordinate day-to-day Medical Staff Office activities, including communications, scheduling, document preparation, and responses to routine inquiries.
Manage productivity and quality metrics, monitor workflows and outcomes, identify improvement opportunities, and support standardization and continuous improvement initiatives.

Benefits

Medical, dental, vision, and prescription coverage for eligible team members working 22.5 hours per week or above.
Life and AD&D insurance.
Short-term and long-term disability coverage, with options to supplement.
403(b) retirement plan with employer match and additional non-elective contribution.
PTO and paid sick leave.
Tuition assistance, advancement opportunities, and academic advising.
Parental, adoption, and surrogacy leave.
Backup and on-site childcare.
Well-being rewards.
Employee Assistance Program.
Fertility benefits and Healthy Pregnancy Program.
Flexible spending and commuter accounts.
Pet, home, auto, identity theft, and legal insurance.