Credentialing Specialist: Medical Staff & Compliance

RWJBarnabas Health; Franklin Township (NJ); On-site; USD 53,000 - 79,000; Full time

Benefits offered by this job

Paid Time Off (PTO)

Medical and Prescription DrugInsurance

Dental and Vision Insurance

Retirement Plans

Disability Insurance

Life & AD&D Insurance

Tuition Reimbursement

Flexible Spending Accounts

Job summary

RWJBarnabas Health is seeking a Credentialing Specialist to perform primary source verification and credentialing for physicians, APPs, and allied health professionals within the Medical Staff department.

You will manage credentialing files from intake to completion, ensuring timely and compliant verification of qualifications to support appointments, privileging, payor enrollment, and network participation across the health system.

Qualifications

• Associates degree required or a combination of equivalent education, training and experience may be considered.
• At least two (2) years of experience CVO or Medical Staff Services in an acute healthcare setting, including credentialing and privileging.

Responsibilities

• Coordinates application management and verification activities, preliminary analysis of application and verification information.
• Perform primary source verification of licensure, education, training, board certification, work history, malpractice coverage, sanctions, and other credentialing elements
• Analyze verification information, to include identifying red flag and/or adverse information and notifying central MSO leadership in accordance with policies
• 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

Education

Associates degree

Job description

RWJBarnabas Health is seeking a Credentialing Specialist to perform primary source verification and credentialing for physicians, APPs, and allied health professionals within the Medical Staff department.

You will manage credentialing files from intake to completion, ensuring timely and compliant verification of qualifications to support appointments, privileging, payor enrollment, and network participation across the health system.