Medical Staff Credentialing Specialist

Logan Health•Kalispell, MT

About The Position

This position coordinates and supports the credential process for providers of Logan Health. Supports the organization in fulfilling the mission, vision, and values of Logan Health. Our Mission: Quality, compassionate care for all. Our Vision: Reimagine health care through connection, service and innovation. Our Core Values: Be Kind | Trust and Be Trusted | Work Together | Strive for Excellence. Are you a detail-oriented, experienced healthcare professional looking to make a difference behind the scenes? Logan Health is seeking a dedicated Full-Time Provider Credentialing Specialist to join our team and support exceptional care across our organization. Why Join Logan Health? At Logan Health, we are committed to excellence in patient care, a culture of teamwork, and supporting our staff to grow professionally. We offer a dynamic and supportive work environment where your skills and dedication are truly valued.

Requirements

Minimum of one (1) year experience in provider credentialing, or minimum of two (2) years' experience in a medical setting — required
Excellent organizational skills; detail-oriented, self-starter with strong critical thinking and prioritization abilities
Strong verbal and written communication skills with the ability to effectively communicate with various audiences
Excellent interpersonal skills with the ability to manage sensitive and confidential situations with tact, professionalism, and diplomacy
Proficient in Microsoft Office Suite with the ability to learn additional software as needed
Commitment to integrity, kindness, empathy, confidentiality, and high-quality outcomes
Ability to work both independently and as part of a collaborative team

Nice To Haves

Associate's degree in Business Administration or related field — preferred
One of the following certifications must be obtained within three (3) years of hire: Certified Provider Credentialing Specialist (CPCS), or Certified Professional Medical Staff Management (CPMSM)

Responsibilities

Assist with the on-boarding process for Medical Providers and coordinate credentialing and privileging for Allied Health Providers (AHPs)
Process provider credentialing applications in accordance with accreditation standards, regulatory requirements, and Logan Health policies and procedures
Perform primary source verification for medical school, residency, fellowship, NPDB, DSHS, FSMB, and other applicable sources
Research, examine, enter data, and gather all necessary information to support the credentialing process
Initiate and support the provider application process by sending, receiving, and analyzing practitioner documents; perform data imports to determine completeness
Gather, verify, and evaluate highly confidential and sensitive healthcare practitioner credentials consistent with departmental guidelines and accreditation standards
Monitor expiring licensure, board and professional certifications, and other documents pending expiration within prescribed timeframes
Respond to practitioner, client health plan, and internal inquiries in a timely and professional manner
Record minutes at assigned meetings, develop agendas, and maintain records
Keep leadership informed of potential credentialing issues and perform administrative tasks as applicable