Credentialing Specialist - Somerset, NJ

RWJBarnabas Health; Franklin Township (NJ); Hybrid; USD 50,000 - 75,000; Full time

Job summary

An established industry player is seeking a Credentialing Specialist to enhance the efficiency of medical staff operations. This role involves managing application processing, ensuring compliance with regulatory standards, and fostering effective communication within the organization. The ideal candidate will have a strong background in credentialing and medical staff services, along with excellent interpersonal skills. This position offers a hybrid work model, allowing for both on-site and remote work, making it an attractive opportunity for those looking to balance their professional and personal lives. Join a team dedicated to improving community health through innovative care strategies.

Benefits

PTO

Health Insurance

Retirement Plans

Tuition Reimbursement

Wellness Programs

Partner Discounts

Qualifications

• Associates degree or equivalent experience required.
• Knowledge of credentialing software preferred.

Responsibilities

• Manage application processing and verification activities.
• Monitor expiring credentials and maintain updated files.
• Communicate effectively with local medical staff offices.

Skills

Interpersonal Skills

Communication Skills

Credentialing Knowledge

Ability to Work Independently

Education

Associates Degree

Certification (CPMSM or CPCS)

Tools

Credentialing Software

Job description

Credentialing Specialist - Somerset, NJ
Req #: 0000145791

Category: Clerical / Administrative Support

Status: Full-Time

Shift: Day

Facility: RWJBarnabas Health Corporate Services

Department: Medical Staff

Location:

SBC Corporation,
95 Old Short Hills Road, Somerset, NJ 07052

Job Overview:

The Credentialing Specialist is responsible for managing application processing, verification, and maintaining compliance with regulatory standards to support credentialing and reappointment of medical staff.

Promotes a culture of excellence, effective communication, and collaboration with Medical Staff Office leadership, staff, providers, and administrative leaders within RWJBarnabas Health.

Handles complex, sensitive, and confidential issues with discretion.

Develops a strong understanding of medical staff operations across affiliated institutions and collaborates with local Medical Staff Offices to ensure timely credentialing processes.

Strives to foster a unified culture of excellence and efficiency across the organization.

Qualifications:

Required:

• Associates degree or equivalent combination of education and experience
• Completion of all RWJBarnabas Health orientation programs

Preferred:

• At least two (2) years of experience in CVO or Medical Staff Services in an acute healthcare setting, including credentialing and privileging
• Certification such as CPMSM or CPCS preferred
• Knowledge of credentialing software and applications strongly preferred
• Excellent interpersonal and communication skills
• Ability to work independently and adapt quickly to changes

Scheduling Requirements:

• Hybrid model with on-site and remote work options

Essential Functions:

• Manage application and verification activities, including preliminary analysis
• Identify red flags or adverse information and notify leadership accordingly
• Monitor expiring credentials such as DEA, licenses, insurance, and certifications; maintain updated files
• Ensure database accuracy and completeness
• Maintain electronic files and documentation
• Communicate effectively with local medical staff offices
• Prepare credential files for audits and hospital submissions
• Monitor staff productivity and ensure timely processing
• Maintain knowledge of relevant regulatory standards and hospital bylaws
• Assist in workflow development and form revision
• Participate in special projects and train new staff
• Enforce internal procedures and resolve issues proactively
• Support team productivity and goal achievement
• Perform other duties as assigned

Additional Information:

RWJBarnabas Health offers comprehensive benefits, including PTO, health insurance, retirement plans, tuition reimbursement, wellness programs, and discounts through partners.

We are committed to providing high-quality, patient-centered care and fostering a supportive work environment. Our mission is to improve community health through innovative strategies in care, education, and research.

Equal Opportunity Employer

RWJBarnabas Health is an Equal Opportunity Employer