Credentialing Specialist

CHI; Lincoln (NE); On-site; USD 26,000 - 37,000; Full time

Job summary

CommonSpirit Health is seeking a Credentialing Specialist to maintain the integrity of the medical staff database and ensure regulatory compliance across the system. You will manage the full credentialing and re-credentialing lifecycle for Medical Staff and Advanced Practice Clinicians, including appointments, reappointments, and clinical privileges.

The role requires meticulous background investigations and primary source verifications, with ongoing management of the credentialing database and

Qualifications

• High School Diploma or GED required at hire.
• Knowledge of medical credentialing procedures and hospital operations is a plus.

Responsibilities

• Maintain the integrity of the medical staff database and ensure regulatory compliance across the CommonSpirit Health system.
• Coordinate the full lifecycle of credentialing and re-credentialing, including initial appointments, reappointments, and management of clinical privileges for Medical Staff and Advanced Practice Clinicians.
• Conduct thorough background investigations and primary source verifications to ensure eligibility of practitioner applications.
• Manage credentialing database, generate reports and queries to track expirables and application progress.
• Identify discrepancies, resolve credentialing issues, and prepare comprehensive files for review; interface with internal stakeholders and external health organizations to support audits.

Education

High School Diploma or GED

Job description

Job Summary And Responsibilities

As our Credentialing Specialist, you will play a pivotal role in maintaining the integrity of our medical staff database and ensuring regulatory compliance across the CommonSpirit Health system. You will be responsible for coordinating the full lifecycle of the credentialing and re-credentialing process, including initial appointments, reappointments, and the management of clinical privileges for Medical Staff and Advanced Practice Clinicians. By staying current with healthcare laws and accreditation standards—such as Joint Commission, NCQA, URAC, and CMS—you will act as a key administrator in upholding our high standards for patient safety and organizational excellence.

Job Summary And Responsibilities

As our Credentialing Specialist, you will play a pivotal role in maintaining the integrity of our medical staff database and ensuring regulatory compliance across the CommonSpirit Health system. You will be responsible for coordinating the full lifecycle of the credentialing and re-credentialing process, including initial appointments, reappointments, and the management of clinical privileges for Medical Staff and Advanced Practice Clinicians. By staying current with healthcare laws and accreditation standards—such as Joint Commission, NCQA, URAC, and CMS—you will act as a key administrator in upholding our high standards for patient safety and organizational excellence.

Every day you will conduct thorough background investigations and primary source verifications to ensure all practitioner applications meet eligibility requirements. You will manage the credentialing database, generating accurate reports and queries to track expirables and application progress. Your daily workflow will involve identifying discrepancies, resolving credentialing issues, preparing comprehensive files for review, and interfacing with both internal stakeholders and external healthcare organizations to facilitate seamless communication and managed care delegated audits.

To be successful in this role, you will possess strong informational research skills and the ability to interpret complex regulatory requirements with independent judgment. We are looking for a detail-oriented professional who excels at program planning and database management, with the ability to communicate effectively both orally and in writing. A High School Diploma or GED is required, along with a solid working knowledge of medical credentialing procedures and hospital operations. If you are a proactive problem-solver dedicated to maintaining the highest ethical and professional standards in medical affairs, we invite you to join our team.

Required

Job Requirements

• High School GED General Studies, upon hire or
• High School Graduate General Studies, upon hire

Where You'll Work

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S., from clinics and hospitals to home-based care and virtual care services, CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources, CommonSpirit is committed to building healthy communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen, both inside our hospitals and out in the community.

Pay Range

$18.96 - $26.78 /hour