Credentialing and Privileging Specialist

Northaugustachamber; Augusta, Northern (GA, KY); On-site; USD 52,000 - 76,000; Full time

Job summary

Christ Community Health is seeking a Credentialing and Privileging Specialist to manage licenses, certifications, and privileges for clinical staff, ensuring compliance with organizational standards and regulatory requirements.

The role maintains renewal workflows, keeps accurate documentation, and verifies staff qualifications for new and existing team members, supporting patient safety, regulatory readiness, and risk management initiatives.

Qualifications

• Maintains licenses, certifications, and privileges for clinical staff.
• Ensures compliance with internal policies and external regulations.
• Keeps documentation accurate and up to date.

Responsibilities

• Oversees credentialing renewals and verifications for staff.
• Monitors regulatory and accrediting requirements related to credentialing.
• Collaborates with management to maintain continuous compliance.

Skills

Regulatory compliance

Credentialing administration

Documentation management

Staff credentialing

Tools

Credentialing software

Job description

Credentialing and Privileging Specialist

CHRIST COMMUNITY HEALTH

Position Summary

The Credentialing Specialist ensures clinical staff maintain the licenses, certifications, and privileges required to practice legally and in compliance with organizational standards. This role exists to manage credentialing and renewal processes, maintain accurate documentation, and verify qualifications for new and existing staff. By overseeing these activities, the position supports regulatory compliance, patient safety, and operational readiness.

Essential Functions

• Maintains compliance with all regulatory and accrediting institutions with particular attention to internal policies, state laws, and the Health Services and Resource Administration (HRSA) requirements for Federally Qualified Health Centers (FQHCs)
• Monitors staff credentials and privileges and work with management to ensure continuous compliance
• Develops, maintains, and utilizes tools to ensure compliance including electronic platforms
• Supports and works with the insurance credentialing team to ensure efficient insurance credentialing
• Assists with Risk Management projects as needed

Additional Postings available from Christ Community Health Services Augusta, Inc.