Medical Staff Credentialing Specialist II - Atlantic Health Morristown Medical Center

Atlantic Health System•Morristown, NJ

11h•$30 - $50

About The Position

The Medical Staff Credentialing Specialist II conducts credentialing and privileging for practitioners across assigned hospitals. The role performs initial and recredentialing primary source verification, investigates discrepancies and adverse findings, evaluates clinical privilege requests against documented training, experience, and current competence, and prepares accurate, defensible recommendations for medical staff leadership and governing committees. Investigations must be handled consistently and confidentially and comply with regulatory and accreditation standards. The specialist manages credentialing files and workflows from application intake through final Board action, ensuring documentation, verifications, privilege evaluations, and committee records are complete, timely, accurate, and audit-ready. Following approval, the role updates credentialing systems, distributes Board approval communications, and coordinates with IT and operational teams to support EMR access and practitioner activation. The position also guides practitioners through credentialing requirements, communicates application status and outstanding items, coordinates with internal and external stakeholders, and supports the daily operations of the Medical Staff Office. The specialist independently monitors productivity and quality 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, such as Verity Credential Stream, Echo, or MDStaff.
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.
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 or potentially concerning findings; obtain relevant context, escalate significant or unresolved concerns, and prepare objective summaries for leadership and committee review.
Evaluate clinical privileging requests against documented training, experience, current competence, and established clinical criteria, including eligibility for core and special privileges.
Verify supporting documentation and specialized training, certifications, case volume, and demonstrated competency where applicable; escalate discrepancies and support defensible privilege recommendations.
Electronically route audited credentialing files to Department Chiefs, Chairs, or designees for review and recommendations.
Manage credentialing workflows to meet Joint Commission, CMS, and NCQA standards and required timelines; track applications through final Board action and address delays or issues.
Coordinate practitioner files through Credentials Committee, Medical Executive Committee, and Governing Board review and approval stages, and document committee actions accurately.
Complete post-approval actions, including updating credentialing systems, preparing and distributing approval communications, and coordinating EMR access and clinical activation.
Guide practitioners through credentialing and privileging requirements, assist with document collection, provide status updates, and address questions or barriers.
Collaborate with clinical departments, HR, legal, licensing boards, malpractice carriers, and other stakeholders to exchange information and resolve issues.
Coordinate day-to-day Medical Staff Office activities, including communications, scheduling, document preparation, and responses to routine inquiries.
Independently manage productivity and quality metrics; monitor workflows and outcomes for trends, gaps, and process-improvement opportunities.
Support standardization and continuous improvement efforts to strengthen compliance, efficiency, and the provider experience.

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 an additional non-elective contribution.
PTO and paid sick leave.
Tuition assistance, advancement, 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.