Medical Credentialing & Compliance Specialist

CommonSpirit Health; Lincoln (NE); On-site; USD 26,000 - 37,000; Full time

Job summary

CommonSpirit Health is seeking a Credentialing Specialist to maintain the integrity of our medical staff database and ensure regulatory compliance across the system. You will manage the full lifecycle of credentialing and re-credentialing, including initial appointments, reappointments, and privileges for Medical Staff and Advanced Practice Clinicians.

You will conduct background investigations, primary source verifications, and generate reports to monitor expirables and progress, while

Qualifications

• Strong regulatory comprehension and ability to interpret complex requirements.
• Experience with medical credentialing procedures and hospital operations.
• Proficient in managing credentialing databases and generating reports.
• Excellent written and verbal communication skills.
• Detail-oriented with strong organizational abilities.

Responsibilities

• Coordinate full lifecycle of credentialing and re-credentialing.
• Manage initial appointments, reappointments, and privileges for Medical Staff and APPs.
• Conduct background investigations and primary source verifications.
• Generate reports to track expirables and application progress.
• Interface with internal stakeholders and external healthcare organizations.

Skills

Regulatory compliance

Credentialing procedures

Database management

Research skills

Communication skills

Education

High School GED/General Studies

Job description

CommonSpirit Health is seeking a Credentialing Specialist to maintain the integrity of our medical staff database and ensure regulatory compliance across the system. You will manage the full lifecycle of credentialing and re-credentialing, including initial appointments, reappointments, and privileges for Medical Staff and Advanced Practice Clinicians.

You will conduct background investigations, primary source verifications, and generate reports to monitor expirables and progress, while