Credentialing Specialist- FT Days

Mercy; St. Louis (MO); On-site; USD 52,000 - 76,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Tuition support

Matched retirement plans

Job summary

Mercy is seeking a Credentialing Specialist to verify and coordinate credentialing for thousands of practitioner files. This on-site role requires attention to detail and the ability to manage complex state-specific requirements within regulatory standards.

The ideal candidate has a Bachelor's degree or equivalent credentialing experience, with CPCS/CPMSM certifications preferred. Expect a fast-paced environment with deadlines and opportunities to grow within Mercy's mission-driven team.

Qualifications

• Bachelor's degree or equivalent credentialing experience.
• Certification in CPCS or CPMSM preferred with timely completion.
• Strong attention to detail and ability to handle complex requirements.

Responsibilities

• Verify and coordinate credentialing for ~8,000 practitioner files.
• Prepare and send applications, gathering and verifying information.
• Communicate with applicants to complete their applications.
• Ensure compliance with accrediting and regulatory standards.

Skills

Detail oriented

Deadline-driven

Communication

Analytical

Self-starter

Multi-state credentialing

Education

Bachelor's degree

CPCS certification

CPMSM certification

Job description

Overview

Coordinates accurate verification of approximately 8,000 practitioner files for initial appointment and reappointment within established time frames and in accordance with the standards required by the accrediting/regulatory agencies for all Mercy Network, Mercy Clinic and Mercy Hospitals. This includes preparing and sending applications, gathering, entering and verifying information received in the application process and communicating verbally and written with applicants as necessary to complete their application. Specialist must be detail oriented and have ability to understand complex credentialing requirements needed by facility and variances for credentialing in multiple states. Must be deadline driven and can easily adapt to expedited requests. Performs duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards.

Position Details

Credentialing Specialist - FT Days (On-Site)

Find your calling at Mercy!

Coordinates accurate verification of approximately 8,000 practitioner files for initial appointment and reappointment within established time frames and in accordance with the standards required by the accrediting/regulatory agencies for all Mercy Network, Mercy Clinic and Mercy Hospitals. This includes preparing and sending applications, gathering, entering and verifying information received in the application process and communicating verbally and written with applicants as necessary to complete their application. Specialist must be detail oriented and have ability to understand complex credentialing requirements needed by facility and variances for credentialing in multiple states. Must be deadline driven and can easily adapt to expedited requests. Performs duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards.

Education

Bachelors degree or previous data entry or credentialing experience may be substituted for education.

Experience

Previous credentialing or database entry experience preferred. Applicant must be detail oriented and able to work in a demanding and fast paced work environment. Analytical experience preferred.

Certifications

Valid certification as a Certified Provider Credentialing Specialist (CPCS) and/or Certified Professional Medical Services management (CPMSM) preferred. Certification must be passed within two years of becoming eligible for exam.

Other

Detail oriented. Able to easily adapt to change. Self-starter.

Preferred Education

Bachelor's degree preferred.

Additional Considerations

• Position requires long hours sitting at a computer.
• Some travel is required.
• Position requires flexible hours outside of the normal work day.

Why Mercy?

• Medical coverage
• Dental coverage
• Vision coverage
• Paid time off
• Tuition support
• Matched retirement plans for team members working 32+ hours per pay period.

Mission and Values

Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.