Credentialing Specialist

Responsibilities

• Support onboarding/offboarding by processing provider applications, monitoring expiring credentials, and updating demographic data.
• Conduct or assist with compliance audits and prepare basic reports.
• Ensure accuracy of provider information, follow disclosure guidelines, and perform quality checks as needed.
• Process provider access requests and escalating issues to leadership or the Medical Staff Office when necessary.
• Help improve department policies, procedures, and workflow.

Qualifications

• High School diploma or GED required.
• Bachelor’s degree in Business, Healthcare, or related field preferred.
• CPCS or CPMSM certification (preferred).
• At least 1 year of experience in medical staff services or a CVO (preferred).
• Knowledge of credentialing regulations and accreditation standards.
• Experience with HR background checks or employm...