Credentialing Coordinator Medical Staff Office

Job Description:

Mon-Friday, 8 hours daily

8:00a - 4:30p

Job Description:

• Coordinate the credentialing and recredentialing process for healthcare providers, including physicians, advanced practice providers, and allied health professionals.

• Collect and verify required documentation, such as licenses, certifications, education, training, and professional references.

• Ensure timely submission of credentialing applications to credentialing committees and external agencies.

• Maintain accurate and up-to-date provider files and databases, including credentialing software systems.

• Ensure compliance with accreditation standards, state, and federal regulations, related to credentialing.

• Monitor changes in regulations and accreditation standards, and update credentialing processes accordingly.

• Prepare reports and documentation for regulatory audits and surveys.

• Conduct periodic audits of credentialing files and databases to ensure accuracy, completeness, and compliance with organizational standards.

• Identify and resolve discrepancies or issues in credentialing documentation and follow up with providers or external agencies as needed.

• Serve as a primary point of contact for providers regarding credentialing and privileging.

• Foster positive relationships with providers, addressing concerns and facilitating communication between providers and credentialing committees.

• Communicate credentialing requirements, deadlines, and updates to providers and departmental staff as needed.

Requirements:

• Associate degree required; high school diploma plus 5 years' experience as an administrative assistant may be accepted in lieu of associate degree.

• Certified Provider Credentialing Specialist (CPCS) Certification preferred upon hire; required within three years of employment.

• Minimum of two years of experience in a healthcare or medical office setting.

• Knowledge of credentialing standards, regulations, and best practices (e.g., NCQA, Joint Commission).

• Familiarity with credentialing software systems and databases (e.g., MSOW, Cactus, MD-Staff).

• Strong attention to detail and organizational skills, with the ability to manage multiple priorities and deadlines effectively.

• Excellent communication and interpersonal skills, with the ability to interact professionally with providers, staff, and external stakeholders.

• Proficiency in Microsoft Office suite (Word, Excel, PowerPoint, Outlook) and other relevant software applications.

• Commitment to maintaining confidentiality, integrity, and ethical standards in all aspects of the role.

Preferred Qualifications:

• Experience in healthcare credentialing and peer review, preferably in a hospital or healthcare organization.

Benefits:

• Tuition Assistance up to $6,000 annually

• Company paid Maternity and Paternity leave.

• 5 days of Paid Time Off available upon hire

• Bereavement Leave (includes pets)

• PTO Sell Back Program

• Compassionate Leave Sharing Program (PTO Donation)

• Employee Support Fund, for employees in need of emergency financial support

If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now!

Baptist Health is an Equal Employment Opportunity employer.