Credentialing Specialist: Onboarding & Compliance

Bon Secours Mercy Health; Alaska; On-site; USD 52,000 - 76,000; Full time

Benefits offered by this job

403(b) with employer contributions

Medical, dental, vision coverage

HSA/FSA options

Tuition assistance

Professional development

Job summary

Bon Secours Mercy Health is seeking a Credentialing Specialist for its Credentials Verification Organization. The role supports provider applications, PSV, onboarding/offboarding, and maintains compliant credentialing processes.

You will work with Medical Staff Office, credentialing committees and auditors to ensure timely, accurate files and ongoing regulatory adherence across Joint Commission, NCQA and CMS standards.

Qualifications

• High School or GED required.
• Bachelor's degree in Business, Healthcare or related field preferred.
• Master's degree in Business, Healthcare or related field preferred.
• 1 year recent experience in medical staff services or CVO setting preferred.
• Certified Professional Medical Staff Management (CPMSM) or Certified Professional Credentials Specialist (CPCS) preferred.

Responsibilities

• Follows standardized credentialing, application data collection and PSV processes.
• Processes credentialing for new applicants and re-credentialing; resolves discrepancies.
• Prepares files for Medical Director review and MSO; coordinates with credentialing auditors.
• Maintains provider data and timely application processing to meet quality benchmarks.
• Ensures provider database accuracy and regulatory compliance in PSV processes.
• Keeps up-to-date with Joint Commission, NCQA, CMS and other guidelines via CVO education.
• Communicates professionally with colleagues, MSO representatives and leadership.

Education

High School or GED

Bachelor's Degree in Business

Master's Degree in Business

Tools

CredentialStream Credentialing software

Job description

Bon Secours Mercy Health is seeking a Credentialing Specialist for its Credentials Verification Organization. The role supports provider applications, PSV, onboarding/offboarding, and maintains compliant credentialing processes.

You will work with Medical Staff Office, credentialing committees and auditors to ensure timely, accurate files and ongoing regulatory adherence across Joint Commission, NCQA and CMS standards.