Credentialing Specialist II

University of Missouri-Columbia; Columbia Township (MO); On-site; USD 63,039,000 - 88,340,000; Full time

Job summary

University of Missouri—Department of Surgery is seeking a Credentialing Specialist II to support credentialing and recredentialing for clinical providers in a fast-paced healthcare environment. The role involves maintaining credentialing records, preparing applications, and ensuring compliance with licensure, certification, accreditation, and regulatory standards, while coordinating with Medical Staff Offices and department leadership.

Shift is Monday–Friday, 8:00 a.m.–5:00 p.m.

Qualifications

• Bachelor's degree in business, health administration, finance, or an equivalent combination of education and experience.
• Two years of experience with graduate medical education, medical staff credentialing, HR, provider enrollment, or related work.
• Three years of experience noted as preferred qualifications.

Responsibilities

• Coordinate and oversee the initial credentialing and recredentialing processes for clinical providers.
• Maintain credentialing records for medical staff members, advanced practice professionals, and University Physicians billing staff.
• Prepare, review, and submit credentialing applications and supporting documentation to ensure timely approvals and compliance.
• Maintain provider credentialing files and monitor ongoing compliance with licensure, certification, accreditation, and regulatory requirements.
• Manage and track OPPE and FPPE reporting activities.
• Create and maintain Collaborative Practice Agreements.
• Utilize Medical Staff Office systems and other designated databases to generate reports, provider rosters, and operational data as needed.
• Safeguard the confidentiality, accuracy, and integrity of all credentialing information and verification processes.
• Serve as a key point of contact, communicating effectively with providers, department leadership, Medical Staff Offices, and other stakeholders.
• Support departmental operations through additional duties and special projects as assigned.
• Other duties as assigned.

Skills

Credentialing

Healthcare

Education

Bachelor's degree

Job description

Job Description

We are seeking a highly motivated, detail-oriented professional to join our team as a Credentialing Specialist II supporting the Department of Surgery. This is an exciting opportunity for an individual who thrives in a fast-paced healthcare environment and enjoys managing complex processes that directly support exceptional patient care.

Hiring Department

Department of Surgery-Administration

Job Description

We are seeking a highly motivated, detail-oriented professional to join our team as a Credentialing Specialist II supporting the Department of Surgery. This is an exciting opportunity for an individual who thrives in a fast-paced healthcare environment and enjoys managing complex processes that directly support exceptional patient care.

Key Responsibilities

• Coordinate and oversee the initial credentialing and recredentialing processes for clinical providers.
• Maintain credentialing records for medical staff members, advanced practice professionals, and University Physicians billing staff
• Prepare, review, and submit credentialing applications and supporting documentation to ensure timely approvals and compliance.
• Maintain provider credentialing files and monitor ongoing compliance with licensure, certification, accreditation, and regulatory requirements.
• Manage and track Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE) reporting activities.
• Create and maintain Collaborative Practice Agreements.
• Utilize Medical Staff Office systems and other designated databases to generate reports, provider rosters, and operational data as needed.
• Safeguard the confidentiality, accuracy, and integrity of all credentialing information and verification processes.
• Serve as a key point of contact, communicating effectively with providers, department leadership, Medical Staff Offices, and other stakeholders.
• Support departmental operations through additional duties and special projects as assigned.
• Other duties as assigned.

Shift

Monday – Friday

8:00 a.m. – 5:00 p.m.

Minimum Qualifications

Bachelor's degree in business, health administration, finance, or an equivalent combination of education and experience from which comparable knowledge, skills, and abilities can be acquired.

Two (2) years of experience with graduate medical education, medical staff credentialing, HR, provider enrollment, or work that involves confirming work history, education, training, background, and/or reference checks, or similar experience.

Preferred Qualifications

Years of Experience: 3 years

Anticipated Hiring Range

Salary Range: $22.00 - $30.83 hourly

Grade: PAT - 007

University Title: CREDENTIALING SPECIALIST II

Internal applicants can determine their university title by accessing the Talent Profile tile in myHR.

Sponsorship Information

Employment visa sponsorship is not available for this position.

Benefit Eligibility

This position is eligible for University benefits. As part of your total compensation, the University offers a comprehensive benefits package, including medical, dental and vision plans, retirement, paid time off, short- and long-term disability, paid parental leave, paid caregiver leave, and educational fee discounts for all four UM System campuses. For additional information on University benefits, please visit the Faculty & Staff Benefits website at https://www.umsystem.edu/departments-staff/human-resources/benefits-retirement

Equal Employment Opportunity

The University of Missouri is an Equal Opportunity Employer.

To request ADA accommodations, please call the Director of Accessibility and ADA at 573-884-7278.