Healthcare Credentialing & Compliance Specialist

Baptist

Memphis (TN)

On-site

USD 50,000 - 70,000

Full time

4 days ago
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Job summary

Baptist is seeking a Credentialing Specialist to manage credentialing, recredentialing, and reappointment activities in a hospital setting in Memphis. The role focuses on ensuring compliance with The Joint Commission, NCQA, and accrediting bodies.

Responsibilities include verification, database maintenance, and preparation for audits. The candidate will support leadership and committees with compliance tasks and daily production standards.

Qualifications

  • Three years of credentialing experience required.
  • Associate's Degree in office administration, business, computer science or related field.
  • Proficiency with Microsoft Office (Word, Excel).
  • CPCS or CPMSM certification required within one year of hire.

Responsibilities

  • Administers credentialing/recredentialing/reappointment process to ensure compliance with standards.
  • Coordinates verification of documentation and information with timely follow-up.
  • Maintains practitioner database ensuring documentation integrity.
  • Provides status reports and ad hoc queries as requested.
  • Supports leaders and committees to ensure compliance with bylaws and hospital rules.

Skills

Credentialing knowledge
Administrative support
Microsoft Office

Education

Associate's Degree in office administration

Tools

Microsoft Word
Excel

Job description

Baptist is seeking a Credentialing Specialist to manage credentialing, recredentialing, and reappointment activities in a hospital setting in Memphis. The role focuses on ensuring compliance with The Joint Commission, NCQA, and accrediting bodies.

Responsibilities include verification, database maintenance, and preparation for audits. The candidate will support leadership and committees with compliance tasks and daily production standards.

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