Credentialing Specialist

Indiana University Health; Roanoke (IN); On-site; USD 45,000 - 60,000; Full time

Job summary

Indiana University Health is seeking a Credentialing Specialist to support patient safety, quality, and regulatory objectives by coordinating credentialing and privileging activities for medical staff and licensed practitioners.

The role conducts primary source verification, supports initial appointment, reappointment, and privileging processes, and maintains practitioner records in accordance with bylaws and regulations. Strong collaboration with physicians and leadership is essential.

Qualifications

• Bachelor's Degree required or equivalent experience.
• 0-2 years of relevant experience.
• Proficiency in Microsoft 365 applications (Word, Excel, PowerPoint, Outlook).

Responsibilities

• Connect to Promise - demonstrate commitment to IU Health's mission, vision, and values by aligning actions with organizational goals.
• Business Acumen - understand department structure and goals and align work accordingly.
• Adaptability - adjust to changing demands and priorities without impacting performance.
• Critical Thinking - analyze information to improve problem solving and recommendations.
• Adaptability - adapt to changes in job demands and structure.
• Quality Assurance - maintain high quality by following all stages of the process and measuring outcomes.
• Independent Judgment - exercise professional judgment and seek guidance when needed.
• Communication - convey information clearly and professionally in oral and written form.

Skills

Microsoft 365 proficiency

Education

Bachelor's Degree

Tools

Credentialing software

Job description

Our leaders shape strategic initiatives, develop passionate teams, and work to improve health outcomes. They advance our mission and exemplify excellence, compassion, teamwork and purpose in all that they do. Indiana University Health is seeking individuals who embody these values to join our Medical Staff Services team in the role of Credentialing Specialist.

The Credentialing Specialist supports IU Health's patient safety, quality, and regulatory compliance objectives through the coordination and execution of credentialing and privileging activities for medical staff and licensed practitioners. This role is responsible for conducting comprehensive primary source verification; facilitating initial appointment, reappointment, and privileging processes; supporting ongoing professional practice evaluations; and maintaining peer review documentation in accordance with Medical Staff Bylaws, organizational policies, accreditation standards, and federal and state regulations. The Credentialing Specialist applies critical thinking and professional judgment to evaluate credentialing information, identify discrepancies, assess potential risk indicators, and ensure the accuracy and completeness of practitioner records. This individual maintains credentialing data within designated systems to support informed decision-making, regulatory compliance, and quality outcomes. The successful candidate collaborates with physicians, advanced practice providers, medical staff leadership, and cross-functional stakeholders to promote consistent, compliant, and efficient credentialing and privileging practices while supporting medical staff governance functions and organizational standards.

Minimum Candidate Qualifications

• Bachelor's Degree or equivalent years of experience is required.
• Requires 0-2 years of relevant experience.
• Requires proficiency in Microsoft 365 applications (Word, Excel, PowerPoint, Outlook).
• Working knowledge of credentialing software is preferred.

Responsibilities

• Connect to Promise - Demonstrates a commitment to IU Health's mission, vision, and values by exhibiting behaviors and delivering results that align with the strategic direction of the organization. Ensure IU Health is working toward its vision of improving the health of all Hoosiers by providing the best care for each person as we practice our values of purpose, excellence, compassion and team.
• Business Acumen - Demonstrates understanding of the department and function and how they are structured. Actively seeks knowledge regarding the goals and operations of department and function, and guidance on how to best align work to achieve departmental goals.
• Adaptability - Adapts to changes in job demands, work priorities, and organizational structure without adverse effects on job performance. Takes guidance and instruction from leaders and implements accordingly.
• Critical Thinking - Leverages curiosity and insights to explore rationale behind decision-making. Connects pieces of information from various sources to improve problem solving capabilities and recommendations. Recognizes and distinguishes questions, problems, and conflict.
• Adaptability - Adapts to changes in job demands, work priorities, and organizational structure without adverse effects on job performance. Takes guidance and instruction from leaders and implements accordingly.
• Quality Assurance - Maintains a consistent, high level of quality outcomes by adhering to every stage of the process, continuously planning, and systematically measuring the effectiveness of outcomes.
• Independent Judgment - Exhibits sound professional judgment and diplomacy in handling unexpected problems and frequent interruptions that require immediate action or attention. Seeks appropriate guidance when determining next steps.
• Communication - Shares thoughts and information in a clear, concise and professional manner, in both oral and written communication formats. Demonstrates active listening and seeks further information to ensure clarity and understanding. Promptly responds to requests for information.

Indiana University Health is unlike any other healthcare system and we're looking for team members who share the things that matter most to us. IU Health leaders play a crucial role in advancing the mission of our organization and inspiring teams to make a meaningful difference in the lives of patients. As one of Indiana’s largest employers and the most comprehensive medical system in the state, our vision is to lead the transformation of healthcare through quality, innovation and education, and make Indiana one of the nation’s healthiest states.

IU Health is the largest health system in Indiana with nearly 40,000 team members, 15 hospitals and $8.64 billion in operating revenue. The system’s programs in cancer, cardiovascular, neuroscience, orthopedics, pediatrics and transplants have received national recognition for quality patient care. IU Health, in partnership with the Indiana University School of Medicine, bring together highly skilled physicians, researchers, and educators into close collaboration to provide world-class care for children and adults and improve the health of patients and communities across Indiana.

Indiana University Health is dedicated to a fair hiring process and is committed to equal opportunity and nondiscrimination for all individuals, regardless of age, color, disability, ethnicity, marital status, national origin, race, religion, gender identity, expression, sexual orientation, or veteran status.