Job Description

Position Summary:

The Credentialing Specialist plays a critical role in maintaining compliance and accuracy in credentialing processes for medical staff and providers. This includes initial appointments, reappointments, clinical privileging, and credentialing audits in alignment with internal policies, hospital bylaws, and external regulatory requirements.

Responsibilities:

• Manage end-to-end provider credentialing and re-credentialing processes

• Complete and maintain license renewals prior to expiration

• Conduct primary source verification for new and existing providers

• Maintain and update provider files and credentialing records

• Utilize MDStaff or similar credentialing software for data management and reporting

• Ensure database consistency, accuracy, and compliance with credentialing standards

• Interpret and apply regulatory requirements from accrediting bodies

• Provide back-up support to credentialing team members as needed

• Perform periodic credentialing audits to ensure data integrity and compliance

• Bachelor’s Degree – Required

• Healthcare field experience – Required

• Familiarity with credentialing databases and software (e.g., MDStaff)

• Knowledge of regulatory and accreditation standards related to credentialing

• Strong organizational and auditing skills

• High attention to detail and data accuracy

Job Tags

Similar Jobs