Credentialing Specialist — Healthcare Compliance & Onboarding

Talentify; New Jersey; On-site; USD 53,000 - 79,000; Full time

Benefits offered by this job

Paid Time Off (PTO)

Medical Insurance

Dental and Vision Insurance

Retirement Plans

Disability Insurance

Life & Accidental Death Insurance

Tuition Reimbursement

Health Care/Dependent Care Flexible SP

Wellness Programs

Voluntary Benefits

Discounts Through Partners

Job summary

RWJBarnabas Health is seeking a Credentialing Specialist for the Medical Staff department in New Jersey. The role focuses on primary source verification and credentialing activities for physicians and other practitioners, supporting medical staff appointments, clinical privileging, payor enrollment, and network participation across the health system.

The position requires an Associate's degree or equivalent experience, at least two years in CVO/Medical Staff Services, and requires knowledge of

Qualifications

• Associates degree required or a combination of equivalent education, training and experience.
• At least two (2) years of experience CVO or Medical Staff Services in an acute healthcare setting, including credentialing and privileging.
• Certified Provider Credentialing Specialist (CPCS) certification preferred or willingness to obtain certification within 2 years of hire.
• Bachelor's degree in healthcare administration preferred

Responsibilities

• Perform primary source verification of licensure, education, training, board certification, work history, malpractice coverage, sanctions, and other credentialing elements
• Coordinate application management and verification activities, preliminary analysis of application and verification information
• Analyze verification information, to include identifying red flag and/or adverse information and notifying central MSO leadership in accordance with policies
• Maintain a working knowledge of healthcare accreditation and regulatory standards, including requirements from Joint Commission, DNV, NCQA, CMS, and applicable state and federal regulations
• Management of database entries for accuracy and completeness
• Generate reports related to credentialing status, expirables, and operational metrics
• Monitor expiring credentials and coordinate renewal activities
• Serve as a resource to practitioners, medical staff professionals, payor representatives, and internal stakeholders regarding credentialing requirements
• Collaborate with local Medical Staff Offices, Provider Enrollment, Human Resources, Compliance, and departmental leadership
• Support organizational goals related to provider onboarding and credentialing timeliness
• Participation in special project teams as assigned

Skills

Credentialing

Attention to detail

Education

Associates degree or equivalent

Job description

RWJBarnabas Health is seeking a Credentialing Specialist for the Medical Staff department in New Jersey. The role focuses on primary source verification and credentialing activities for physicians and other practitioners, supporting medical staff appointments, clinical privileging, payor enrollment, and network participation across the health system.

The position requires an Associate's degree or equivalent experience, at least two years in CVO/Medical Staff Services, and requires knowledge of