Medical Staff Credentialing Specialist II - Atlantic Health Chilton Medical Center

Atlantic Health System•Hackettstown, NJ

13h

About The Position

Determines practitioner eligibility for Medical Staff and Allied Health Professional Staff membership and/or clinical privileges. Performs complex credentialing, privileging, and primary source verification functions requiring advanced analytical skills, critical thinking, and independent judgment. Ensures the integrity, accuracy, and timeliness of credentialing information in compliance with regulatory and accreditation standards. Serves as a key resource to leadership, providers, and interdisciplinary stakeholders to support high-quality practitioner evaluation and patient safety.

Requirements

High school diploma required.
Three years of credentialing experience in a hospital or healthcare setting.
Strong knowledge of Joint Commission, CMS, and NCQA standards.
Demonstrated ability to analyze complex information, exercise sound judgment, and manage competing priorities.

Nice To Haves

Bachelor's degree preferred.
CPCS or CPMSM preferred.

Responsibilities

Conduct comprehensive initial and recredentialing primary source verification of education, clinical training, licensure, work history, hospital and healthcare affiliations, malpractice claims history, peer references, and other required elements.
Identify, investigate, and resolve discrepancies or adverse findings to support informed decision-making by medical staff leadership and committees.
Process clinical privilege requests in alignment with established clinical and specialty criteria.
Manage credentialing workflows to ensure compliance with Joint Commission, CMS, and NCQA standards and required timelines.
Monitor credentialing files through review and approval stages, ensuring completeness, accuracy, and audit readiness.
Liaise with physicians, advanced practice providers, and internal and external stakeholders to communicate application status, resolve issues, and obtain required documentation.
Provide guidance on medical staff bylaws, policies, and credentialing requirements, and respond to verification inquiries and organizational requests.
Independently manage productivity and quality metrics, maintaining high standards of accuracy and efficiency.
Contribute to process improvement initiatives, support system optimization efforts, and participate in departmental and organizational projects.

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, with options to supplement.
403(b) retirement plan with employer match and 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.