Healthcare Credentialing Specialist

Greenkey Resources LLC; New York (NY); Hybrid; USD 55,000 - 75,000; Full time

Benefits offered by this job

Hybrid work arrangement

Job summary

Greenkey Resources LLC is seeking a Healthcare Credentialing Specialist to oversee credentialing for clinical staff, ensuring regulatory compliance and accurate documentation. The role supports onboarding and collaborates with HR and clinical leadership, offering two onsite days weekly for a hybrid setup.

The ideal candidate will have a Bachelor’s in HR or Healthcare Administration and at least three years in credentialing, with strong organizational skills and experience in CAQH, MD-Staff, and

Qualifications

• Bachelor’s degree in HR, Healthcare Administration, or related field preferred.
• Minimum of three years of experience in healthcare credentialing or related administrative roles required.
• Proficiency in credentialing systems like CAQH, MD-Staff, and familiarity with primary source verification processes.
• Strong organizational skills and attention to detail for managing credentialing documentation and compliance records.
• Excellent communication skills to coordinate with internal and external stakeholders effectively.
• Ability to work independently and prioritize tasks in a fast-paced environment.

Responsibilities

• Coordinate initial credentialing and recredentialing processes for clinical staff, ensuring compliance with regulatory standards.
• Maintain accurate credentialing records in systems like CAQH and MD-Staff, ensuring data consistency.
• Monitor credential expirations and track professional license renewals, certifications, and registrations.
• Support primary source verification activities, ensuring documentation accuracy and completeness.
• Collaborate with HR and clinical leadership to address credentialing delays and compliance concerns.
• Assist with onboarding processes by communicating credentialing requirements to new hires and stakeholders.
• Prepare for audits and regulatory reviews by maintaining organized and audit-ready credentialing files.
• Contribute to process improvements by developing efficient workflows and documentation procedures.

Skills

Excellent communication

Strong organizational skills

Attention to detail

Independent work

Education

Bachelor’s degree in HR/Healthcare Administration

Tools

CAQH

MD-Staff

HRIS

Job description

Healthcare Credentialing Specialist Overview

• The Healthcare Credentialing Specialist will oversee credentialing processes for clinical staff, ensuring compliance with healthcare regulations and maintaining accurate documentation.
• This contract role offers a hybrid work arrangement, requiring two onsite days per week, providing flexibility and work-life balance.
• Collaborate with HR and clinical leadership to streamline onboarding and credentialing activities, enhancing operational efficiency.
• Utilize credentialing systems like CAQH and MD-Staff to manage documentation and verification processes effectively.
• Support compliance initiatives by maintaining audit-ready records and ensuring timely recredentialing cycles.
• Contribute to organizational goals by ensuring credentialing accuracy and supporting high-quality patient care delivery.
• Work closely with external credentialing partners to resolve outstanding requirements and ensure seamless coordination.
• Gain valuable experience in healthcare credentialing while working in a dynamic and collaborative environment.

Healthcare Credentialing Specialist Key Responsibilities & Duties

• Coordinate initial credentialing and recredentialing processes for clinical staff, ensuring compliance with regulatory standards.
• Maintain accurate credentialing records in systems like CAQH and MD-Staff, ensuring data consistency.
• Monitor credential expirations and track professional license renewals, certifications, and registrations.
• Support primary source verification activities, ensuring documentation accuracy and completeness.
• Collaborate with HR and clinical leadership to address credentialing delays and compliance concerns.
• Assist with onboarding processes by communicating credentialing requirements to new hires and stakeholders.
• Prepare for audits and regulatory reviews by maintaining organized and audit-ready credentialing files.
• Contribute to process improvements by developing efficient workflows and documentation procedures.

Healthcare Credentialing Specialist Job Requirements

• Bachelor’s degree in Human Resources, Healthcare Administration, or related field preferred.
• Minimum of three years of experience in healthcare credentialing or related administrative roles required.
• Proficiency in credentialing systems like CAQH, MD-Staff, and familiarity with primary source verification processes.
• Strong organizational skills and attention to detail for managing credentialing documentation and compliance records.
• Excellent communication skills to coordinate with internal and external stakeholders effectively.
• Ability to work independently and prioritize tasks in a fast-paced environment.
• Experience with HRIS systems and credentialing platforms preferred.
• Commitment to maintaining confidentiality and security of sensitive information.