Credentialing Specialist
New
United StatesFull-TimeMiddle
Salary28 - 30 USD per hour
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Job Details
- Experience
- Minimum of 2 years of credentialing experience
- Required Skills
- SharePointMicrosoft OfficeCRM
Requirements
- Minimum of 2 years of credentialing experience in healthcare administration or a medical staff office
- High school diploma required; associate degree preferred
- Strong understanding of credentialing standards such as NCQA, JCAHO, NPDB, and licensing requirements
- Excellent written and verbal communication skills for clinician and stakeholder interaction
- Strong attention to detail with the ability to manage high-volume, accuracy-sensitive work
- Proficiency in Microsoft Office (Word, Excel, Access); experience with QGenda is a plus
- Familiarity with medical terminology and credentialing workflows preferred
- Ability to organize, prioritize, and meet strict deadlines independently and collaboratively
Responsibilities
- Manage credentialing and reappointment processes, including hospital privilege applications and documentation review
- Verify clinician credentials such as education, training, licensure, malpractice coverage, NPDB data, and work history
- Track application progress, committee schedules, and approval timelines to ensure deadlines are met
- Maintain accurate and up-to-date clinician records in internal systems (CRM, SharePoint, and related platforms)
- Monitor renewals for licenses, DEA certifications, and other required credentials
- Support onboarding coordination, including hospital orientation scheduling and compliance communication
- Collaborate with internal teams such as Payor Enrollment and medical staff offices to ensure seamless workflows
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