Medical Credentialing Specialist
A healthcare company is seeking an experienced Medical Credentialing Specialist to join our Medical Staff Services department. This Medical Credentialing Specialist is responsible for managing the full credentialing lifecycle for physicians and advanced practice providers, with a primary focus on initial appointments, reappointments, and clinical privileges. The Medical Credentialing Specialist is detail-oriented, highly organized, and experienced in navigating the complex regulatory requirements governing hospital credentialing. This position requires prior experience using MD-Staff software to support credentialing, privileging, and provider data management.
Key Responsibilites:
- Manage the credentialing and privileging process for physicians and allied health professionals, including initial appointments, reappointments, temporary privileges, and privilege modifications, using MD-Staff to maintain accurate and current provider records.
- Review applications for completeness, obtain required documentation, and perform all primary source verifications, including licensure, education, training, board certification, DEA registration, references, malpractice history, NPDB queries, and sanctions/exclusion screenings.
- Prepare and maintain credentialing files, reports, and committee-ready documentation in MD-Staff for review by Department Chairs, the Credentials Committee, Medical Executive Committee (MEC), and Governing Board, while tracking expiration dates and reappointment timelines to ensure continuous compliance.
- Ensure adherence to Medical Staff Bylaws, hospital policies, CMS Conditions of Participation, The Joint Commission standards, and all applicable state and federal regulations.
- Partner with Human Resources, Provider Enrollment, Risk Management, department leaders, and hospital leadership to support provider onboarding, reporting, committee materials, accreditation readiness, and high-quality service to providers and stakeholders.
Benefits: Health, Dental, Vision, 401k, and Sick Time Off.
Qualifications:
Qualifications:
- Required: Hands-on experience using MD-Staff software.
- Experience supporting credentialing and privileging in an acute care hospital or health system environment.
- Experience coordinating initial appointments, reappointments, and clinical privileges for physicians and advanced practice providers.
- Strong knowledge of credentialing standards, regulatory requirements, and accreditation expectations.
- Experience with primary source verification and credentialing database management.
- Working knowledge of Medical Staff Bylaws, The Joint Commission, CMS, NPDB, and other applicable regulatory standards.
- Excellent organizational skills with strong attention to detail and accuracy.
- Ability to manage multiple deadlines and priorities in a fast-paced environment.
- Strong written and verbal communication skills.
- Proficiency with Microsoft Office applications and credentialing systems.
Compensation
$32.00-$45.00 HourlyAbout Us
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