Medical Staff Credentialing Specialist II - Atlantic Health Overlook Medical Center

Atlantic Health System•Morristown, NJ

4h•$30 - $50

About The Position

The Medical Staff Credentialing Specialist II conducts initial and recredentialing primary-source verifications, investigates and evaluates discrepancies or adverse findings, and processes clinical privileging requests. The role ensures that practitioners meet eligibility requirements and that recommendations are supported by complete documentation and appropriate review. Investigations and decisions must be handled consistently and confidentially in accordance with regulatory and accreditation standards. The specialist manages credentialing files and workflows from application intake through final Board action, routing files for review and coordinating approval stages with department leaders, Credentials Committees, the Medical Executive Committee, and the Governing Board. Following approval, the role updates credentialing records, communicates decisions, and coordinates practitioner activation, including EMR access. The position also guides practitioners through credentialing and onboarding, coordinates with internal departments and external entities, supports day-to-day Medical Staff Office operations, and monitors productivity, quality, and process-improvement opportunities.

Requirements

High school diploma required.
Minimum 3 years of credentialing experience in a hospital or integrated healthcare system.
Experience with credentialing software database systems, such as Verity Credential Stream, Echo, or MDStaff.
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.
CPCS or CPMSM certification.

Responsibilities

Conduct initial and recredentialing primary-source verification of education, clinical training, licensure, work history, healthcare affiliations, malpractice claims history, peer references, and other required elements.
Identify, investigate, and resolve discrepancies and adverse findings, including disciplinary actions, terminations or resignations in lieu of termination, professional misconduct, malpractice patterns, licensure sanctions, and criminal history.
Analyze findings in context, obtain relevant verification and feedback, escalate significant or unresolved concerns, and prepare objective summaries for clinical leadership and committees.
Handle investigations consistently and confidentially in compliance with regulatory and accreditation standards.
Evaluate clinical privileging requests against established criteria and verify required training, certifications, case volume, and demonstrated competency.
Ensure privilege requests are supported by complete primary-source documentation and escalate discrepancies or concerns.
Route completed credentialing files to department chiefs, chairs, or designees for review and recommendations.
Manage credentialing workflows and timelines to comply with Joint Commission, CMS, and NCQA standards, tracking applications through final Board action and addressing delays.
Coordinate practitioner files through Credentials Committee, Medical Executive Committee, and Governing Board review; document committee actions and support defensible recommendations.
Complete post-approval actions, including updating credentialing systems, preparing and distributing Board approval communications, and coordinating EMR access and practitioner activation.
Guide practitioners through credentialing requirements, explain application steps, assist with document collection, and provide status updates and timelines.
Anticipate and address questions or barriers to support an efficient onboarding experience and prevent delays.
Collaborate with clinical departments, HR, legal, licensing boards, malpractice carriers, and other internal or external entities to exchange information and resolve issues.
Coordinate day-to-day Medical Staff Office activities, including communications, scheduling, document preparation, and routine inquiries.
Independently manage productivity and quality metrics, monitor workflows and outcomes, identify improvement opportunities, and support standardization and continuous improvement.

Benefits

Medical, dental, vision, and prescription coverage for 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 (EAP).
Fertility benefits and Healthy Pregnancy Program.
Flexible spending and commuter accounts.
Pet, home, auto, identity theft, and legal insurance.