Healthcare Credentialing Specialist

Shriners Children's; United States; Remote; USD 55,000 - 75,000; Full time

Job summary

Shriners Children’s is seeking a Credentialing Specialist to coordinate credentialing and privileging for physicians and advanced practice professionals. You will review, analyze, and follow up credentialing applications, maintaining confidentiality and ensuring compliance with accrediting bodies.

Responsibilities include verification of credentials, handling escalations, and collaboration with Medical Staff Offices to meet deadlines and regulatory requirements.

Qualifications

• Experience in healthcare credentialing in a regulatory environment.
• Experience with MD Staff or a credentialing database.
• Accurate data entry and ability to navigate a translational database.
• Proficiency with Microsoft Office applications.
• Certification CPCS or CPMSM or equivalent, CPCS within 24 months if not certified.
• High school diploma or GED required.

Responsibilities

• Coordinate credentialing/privileging requests for SHC facilities and affiliate locations.
• Verify credentials and expirables; document communications and maintain records.
• Investigate discrepancies and adverse information to ensure compliance.
• Maintain confidentiality and data entry in credentialing databases.
• Collaborate with SHC Medical Staff Offices to ensure timely approvals and audits.
• Stay current with accreditation standards (TJC, NCQA) and state/federal regs.

Skills

Regulatory credentialing

MD Staff credentialing database

Data entry in translational database

Microsoft Office proficiency

Credentialing CPCS/CPMSM certification

High School Diploma

Education

High School Diploma/GED

Associates Degree in relevant field

Bachelor’s Degree in relevant field

Job description

Shriners Children’s is seeking a Credentialing Specialist to coordinate credentialing and privileging for physicians and advanced practice professionals. You will review, analyze, and follow up credentialing applications, maintaining confidentiality and ensuring compliance with accrediting bodies.

Responsibilities include verification of credentials, handling escalations, and collaboration with Medical Staff Offices to meet deadlines and regulatory requirements.