Medical Staff Credentialing Specialist

T J REGIONAL HEALTH INC; Glasgow (KY); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

Health insurance

Job summary

The Medical Staff Specialist - Credentialing position in Glasgow, KY supports credentialing and re-credentialing for healthcare providers. This role works with the Medical Staff Coordinator and MSS Director to verify applications, maintain the database, and ensure compliance with Joint Commission and CMS standards.

Responsibilities include data entry, verification processing, and timely communication with stakeholders.

Qualifications

• Must possess a high school diploma or equivalent.
• Some college or business college from an accredited curriculum desirable.
• Related work experience in healthcare is preferred

Responsibilities

• Process and execute developed plan for each applicant.
• Accurate and current data entry.
• Analyze verifications from primary sources and prepare red flags for reporting.
• Prepare submission for review by Medical Staff Coordinator and/or Director of MSS.
• Maintenance of current expirables for medical staff.
• Management of updated information in credentialing software system.
• Communication of medical staff documents to stakeholders.
• Assists with compliance for accreditation bodies.
• Assists with new provider onboarding processes.
• Assist with meeting minutes in conjunction with the Medical Staff Coordinator and/or Director of MSS.
• Assist with medical staff call schedules and notification of alterations.
• Other duties as assigned

Skills

Independent work

Microsoft Office

Prioritization

Professional communication

Follow-through

Confidentiality

Education

High school diploma

Some college desirable

Job description

The Medical Staff Specialist - Credentialing position in Glasgow, KY supports credentialing and re-credentialing for healthcare providers. This role works with the Medical Staff Coordinator and MSS Director to verify applications, maintain the database, and ensure compliance with Joint Commission and CMS standards.

Responsibilities include data entry, verification processing, and timely communication with stakeholders.