CVO Credentialing Specialist

CoxHealth; United States; On-site; USD 48,000 - 62,000; Full time

Benefits offered by this job

Medical insurance

Vision insurance

Dental insurance

Retirement with employer match

Job summary

CoxHealth is seeking a Credentialing Verification Office professional to support credentialing and privileging for medical staff in accordance with organizational policies, bylaws, and regulatory requirements.

The role ensures credentialing information is accurate, complete, and processed within set timeframes, while maintaining confidentiality and professional communication with providers and stakeholders. Primary source verification and escalation duties are key aspects of the position.

Qualifications

• High school diploma or equivalent required.
• Preferred: Associate’s degree in healthcare, business, or related field or 2 years related experience.
• 2 years healthcare or related experience required.
• NAMSS certification preferred.

Responsibilities

• Support credentialing and privileging processes for medical staff and credentialed practitioners.
• Ensure credentials are accurate, complete, current, and processed within established timeframes.
• Communicate requirements, deadlines, and status with providers and stakeholders.
• Perform or coordinate primary source verification of practitioner credentials.
• Identify discrepancies or items needing review and escalate as needed.

Skills

Proficient with Microsoft Office

Communication skills

Attention to detail

Confidentiality

Team collaboration

Independent work

Time management

Education

High School Diploma or Equivalent

Associate’s Degree (preferred)

Tools

Credentialing software (NAMSS preferred)

Job description

Facility: CoxHealth South: 3801 S National Ave, Springfield, Missouri, United States of America, 65807

Department: 1848

Credentialing Verification Office

Scheduled Weekly Hours: 40 Hours: 8:00 AM - 5:00 PM Work Shift: Day Shift (United States of America)

CoxHealth is a leading healthcare system serving 25 counties across southwest Missouri and northern Arkansas.

The organization includes six hospitals, 5 ERs, and over 80 clinics.

CoxHealth has earned the following honors for workplace excellence: Named one of Modern Healthcare’s Best Places to work five times. Named one of America’s Greatest Workplaces, Greatest Workplaces in Healthcare (2025, 2026), Greatest Workplaces for Women (2023, 2024), and Greatest Workplaces for Diversity (2024) by Newsweek and Plant-A Insights Group. Acknowledged by Forbes as one of the Best Employers for New Grads. Healthcare Innovation's Top Companies to Work for in Healthcare (2025).

Benefits Medical, Vision, Dental, Retirement with Employer Match and more (20+ hrs/week).

Job Description: Responsible for supporting the credentialing and privileging processes for medical staff and other credentialed practitioners in accordance with organizational policies, Medical Staff Bylaws, Rules and Regulations, and applicable accreditation and regulatory requirements. Ensures credentialing information and documentation are accurate, complete, current, and processed within established timeframes. Communicates professionally with providers and stakeholders, maintains confidentiality, identifies and escalates issues requiring additional review, and provides effective customer service in support of Medical Staff Services and organizational objectives. Performs or coordinates primary source verification of practitioner credentials in accordance with applicable organizational, accreditation, and regulatory requirements. Identifies incomplete information, discrepancies, adverse information, or other items requiring additional review and obtains appropriate documentation and follow-up. Communicates application requirements, outstanding items, deadlines, and status information professionally and effectively with providers and other appropriate stakeholders. Identifies matters requiring additional review or escalation and appropriately communicates concerns to CVO leadership. Performs other duties as assigned in support of the CVO department and organizational objectives.

Education

• Required: High School Diploma or Equivalent
• Preferred: Associate’s Degree in healthcare, business, or related field or (2) two years of experience in a directly related field may be considered in lieu of the preferred degree.

Experience

• Required: 2 years' healthcare or related experience
• Preferred: Experience working and communicating directly with medical staff in a hospital or healthcare setting.
• Preferred: Experience with medical staff credentialing and privileging within the past five (5) years.
• Preferred: Experience utilizing credentialing or medical staff management software.

Skills

• Proficient computer skills, including Microsoft Office products, spreadsheet management, database management, and other technology used to manage credentialing and medical staff information.
• Ability to learn and adapt to new software applications and technology.
• Ability to communicate effectively and professionally, both orally and in writing, with providers, leadership, colleagues, and small groups.
• Strong critical-thinking, analytical, and problem-solving skills.
• Demonstrates a high degree of discretion and confidentiality when handling sensitive information.
• Strong organizational skills and exceptional attention to detail.
• Ability to prioritize competing responsibilities and manage multiple tasks simultaneously.
• Ability to effectively manage large volumes of information, documentation, and time-sensitive records.
• Excellent time-management skills with a strong focus on meeting established deadlines.
• Excellent customer service and interpersonal skills.
• Proficient use of English grammar and spelling, including the ability to compose, proofread, and edit professional correspondence and documents.
• Ability to work cooperatively and effectively as a member of a team.
• Ability to work independently within established policies, procedures, and guidelines.
• Ability to identify discrepancies, incomplete information, and potential compliance concerns and initiate appropriate follow-up.
• Ability to appropriately identify and escalation matters requiring additional review or leadership involvement.

Licensure/Certification/Registration

• Preferred: Certification with the National Association of Medical Staff Services (NAMSS).

At CoxHealth, we don’t just provide medical services; we've created an atmosphere where innovation, collaboration, values, and excellence come together to transform lives. Whether you desire to work in a clinical or non-clinical capacity, CoxHealth has the perfect position for you! CoxHealth is the region’s employer of choice because we keep our mission, vision, and values in mind with every decision for our employees and our patients.

OUR MISSION To improve the health of the communities we serve.

OUR VISION To be the best for those who need us.

OUR VALUES Safety, compassion, respect, and integrity.

CoxHealth is the area leader in health care and community involvement, with six hospitals, more than 80 clinics, five ERs and more than 14,000 employees throughout southwest Missouri. We offer a wide range of treatments and services to help with whatever health needs you might have. Whether you're about to become a parent, have an illness or need medical information, we’re here for you. And if your goal is to live a healthy, balanced life with the best tools available, we can help with that, too. We know that your health and the health of your loved ones are some of the most personal, important parts of your life. That's why we keep our Mission, Vision and Values at the center of everything we do, every day. Thank you for choosing CoxHealth.