Healthcare Credentialing Specialist | Growth & Development

Detroit Medical Center; Detroit (MI); On-site; USD 52,000 - 78,000; Full time

Job summary

DMC Rehabilitation Institute of Michigan is seeking a credentialing specialist to process appointment and reappointment applications for practitioners across Detroit Medical Center hospitals and affiliated units.

You will maintain physician databases, perform primary source verifications, and ensure timely submission of all documentation. The role requires attention to policies, rules, and credentialing standards while contributing to process improvements and ongoing professional development.

Qualifications

• Two years of medical affairs office or credentialing experience in managed care, hospital, or physician practice.
• CPCS or CMSC certification preferred.
• Knowledge of NCQA and JCAHO standards, NPDB guidelines and general licensing regulations preferred.
• Basic knowledge of medical terminology desired.

Responsibilities

• Processes applications for appointment/re-appointment of practitioners requesting or renewing membership and privileges at DMC system hospitals and affiliated operating units.
• Maintains physician database and performs all primary source verifications for appointment, reappointment and changes in staff status.
• Scans and appends electronic attachments to the appropriate electronic file.
• Ensures the timely completion of applications by communicating with and assisting the applicants in submitting all documentation necessary to process the applications.
• Receives and files approval letters and privileges.
• Adheres to credentialing policies/procedures, hospital by-laws, department rules/regulations and medical staff policies.
• Participates in the development and implementation of process improvements for the system-wide credentialing process.
• Participates in professional development programs and professional organizations to enhance understanding of various regulations and legislation of the health care industry.

Skills

Credentialing experience

ECHO software

NPDB guidelines

NCQA/JCAHO standards

Licensing regulations

Medical terminology

Confidentiality

Attention to detail

Education

High school diploma or equivalent

Post-secondary secretarial/office training (preferred)

CPCS or CMSC certification (preferred)

Job description

DMC Rehabilitation Institute of Michigan is seeking a credentialing specialist to process appointment and reappointment applications for practitioners across Detroit Medical Center hospitals and affiliated units.

You will maintain physician databases, perform primary source verifications, and ensure timely submission of all documentation. The role requires attention to policies, rules, and credentialing standards while contributing to process improvements and ongoing professional development.