Credentialing Specialist: Timely Practitioner Vetting

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

Benefits offered by this job

PTO

Medical insurance

Dental insurance

Vision insurance

Retirement plans

Disability insurance

Life insurance

Tuition reimbursement

FSAs

Wellness programs

Pet insurance

Employee discounts

Job summary

RWJBarnabas Health is seeking a Credentialing Specialist to perform primary source verification and manage credentialing files for physicians and allied health professionals across the New Jersey region. The role supports medical staff appointments, clinical privileging, payor enrollment and network participation.

The position requires at least two years in CVO/Medical Staff Services in an acute care setting, with CPCS certification preferred or obtainable within two years.

Qualifications

• Associates degree required or equivalent education/experience.
• At least two years of CVO or Medical Staff Services experience in an acute healthcare setting.
• CPCS certification preferred or willingness to obtain within 2 years of hire.

Responsibilities

• Perform primary source verification of licensure, education, training, board certification, work history, malpractice coverage, sanctions and other credentialing elements.
• Manage assigned credentialing files from intake through completion to ensure accurate, timely and compliant verification of practitioner qualifications.
• Coordinate application management and verification activities, preliminary analysis of application and verification information.
• Generate reports related to credentialing status, expirables, and operational metrics.
• Monitor expiring credentials and coordinate renewal activities.
• Collaborate with local Medical Staff Offices, Provider Enrollment, Human Resources, Compliance, and departmental leadership.

Skills

Credentialing

Primary source verification

Regulatory compliance

Attention to detail

Education

Associates degree

Bachelor’s degree (preferred)

Job description

RWJBarnabas Health is seeking a Credentialing Specialist to perform primary source verification and manage credentialing files for physicians and allied health professionals across the New Jersey region. The role supports medical staff appointments, clinical privileging, payor enrollment and network participation.

The position requires at least two years in CVO/Medical Staff Services in an acute care setting, with CPCS certification preferred or obtainable within two years.