Medical Staff Credentialing Specialist

UAB Medicine; Birmingham (AL); On-site; USD 40,000 - 60,000; Full time

Benefits offered by this job

Generous paid time off

Tuition Reimbursement Program

Associate Assistance Program

Job summary

UAB Medicine in Alabama is seeking a Medical Staff Credentialing Specialist who coordinates credentialing, privileging, and governance functions for the Medical Staff Office. You will review applications, perform primary source verifications, and maintain confidentiality.

This role requires attention to detail, liaising with practitioners and departments, and ensuring compliance with accrediting and regulatory standards. Schedule is 8:00 am–5:00 pm, M-F, at UAB St. Vincent's East.

Qualifications

• Licenses: CPMSM preferred.
• Licenses: Certified Credentialing Specialist preferred.
• Education: High School Diploma or equivalent with 2 years in credentialing or related field; Bachelor's degree preferred.

Responsibilities

• Coordinates receipt of credentialing and privileging information and completes primary source verifications.
• Pre-committee and end-of-committee processes to notify practitioners and stakeholders.
• Researches credentialing records for eligibility and compliance with accreditation standards.
• Guides practitioners and departments through credentialing and licensure requirements.
• Identifies credentialing issues and triages communications to meet deadlines.
• Maintains credentialing databases and records, including renewals and trainings.
• Maintains strict confidentiality and performs other duties as assigned.

Education

CPMSM

Certified Credentialing Specialist

High School Diploma or equivalent

Bachelor's degree preferred

Job description

Position Overview

• Department: Medical Staff Services
• Schedule:8:00 am - 5:00 pm M-F
• Work Location: UAB St. Vincent's East
• Benefits for eligible positions only include: generous paid time off, paid parental leave, Associate Assistance Program, Tuition Reimbursement Program, and more

Job Description

Under limited supervision, the Medical Staff Credentialing Specialist serves as an essential link and resource between Practitioners, Senior Leaders, Departments, and hiring Stakeholders to coordinate the operational processes and ongoing credentialing, privileging and medical staff governance functions of the Medical Staff Office. Responsible for review, analysis and follow-up of credentialing and privileging applications, maintaining strict confidentiality and ensuring compliance with organizational policies and
accrediting and regulatory agencies.

• Handles a range of specialized duties in the administration of credentialing and privileging requirements and processes, including, but not limited to, coordinates receipt of credentialing and privileging information; completing primary source verifications of credentialing information: coordinates credentialing pre-committee and end-of-committee processes to ensure notification to practitioners, departments and stakeholders.
• Researches and analyzes credentialing and privileging records to assess the suitability of the practitioner with meeting eligibility criteria and to ensure compliance with accreditation guidelines, state regulations and policies. Escalates concerns or issues identified.
• Acts as a resource and liaison by guiding practitioners and sponsoring departments/hiring stakeholders through credentialing and privileging processes and medical/clinical practice licensure requirements.
• Actively identifies credentialing issues/delays and proactively triage/resolves/communications with practitioners and sponsoring departments/hiring stakeholders to meet deadlines and anticipated start dates.
• Maintains database and credentialing files to ensure records are accurate and current.
• Facilitates ongoing monitoring, primary source verification processes and communications with practitioners/departments to ensure credentialing expirables are current, including, but not limited to, state and federal license to practice renewals, board certifications, certificate of malpractice insurance, lifesaving certifications, and regulatory and required practitioner education/trainings.
• Maintains strict confidentiality on all job-related matters.
• Performs other duties as assigned.

Qualifications

Licenses:

• Certified Professional Medical Services Management (CPMSM) preferred.
• Certified Credentialing Specialist preferred.

Education:

• High School Diploma or equivalent with 2 years' experience in credentialing, medical staff or related field. Bachelor’s degree preferred.

Why Work at UAB Medicine

We are UAB Medicine, Alabama’s largest and most comprehensive health system, recognized nationally for delivering world-class patient care, pioneering research, and cutting-edge medical education. We proudly serve more than 1.2 million patients each year – from every county in Alabama, all 50 states, and many countries around the world. Our network spans numerous hospitals, emergency departments, more than 67 other sites of care, and a team of over 3,100 physicians. Our key facilities include UAB Hospital – ranked the No. 1 hospital in Alabama by U.S. News & World Report and home to the state’s first ACS-verified Level I adult trauma center and only Magnet-designated hospital – along with UAB Hospital-Callahan Eye and five UAB St. Vincent’s hospitals serving central Alabama.

UAB Medicine offers careers across a wide range of practice environments, from our internationally renowned academic medical center and award-winning community hospitals to our primary and specialty care clinics across the state. Whether you’re seeking the fast-paced learning environment of a tertiary care setting or the close-knit environment of a community facility, there’s a place for you on our team where you can become part of a mission-driven organization committed to delivering life-changing care. With nearly every medical specialty represented and unlimited opportunities for growth, you’ll find the right fit for your skills and career goals. We care for you by offering comprehensive, industry-leading benefit packages to support the individual preferences and circumstances of our diverse staff.