Medical Staff Credentialing Specialist

SUNY Downstate Health Sciences University; New York (NY); On-site; USD 60,000 - 75,000; Full time

Job summary

SUNY Downstate Health Sciences University is seeking a Medical Staff Credentialing Specialist to coordinate and process credentialing for medical staff in a full-time, on-site role based in New York, NY. You will verify licenses, certifications, education, and work history, maintaining records and supporting audits.

You will interact with providers and departments to obtain documentation, resolve discrepancies, and ensure timely onboarding and continuous eligibility of clinical staff, while

Qualifications

• Experience with credentialing procedures including verification and compliance.
• Strong written and verbal communication skills for interacting with providers and departments.
• Customer service oriented with responsive, accurate information.
• Attention to detail, excellent organizational skills, and ability to manage multiple cases and deadlines.
• Familiarity with Joint Commission and regulatory standards is beneficial.

Responsibilities

• Coordinate and process credentialing and re-credentialing for medical staff and allied health professionals.
• Verify licenses, certifications, education, training, and work history.
• Maintain accurate credentialing records in designated systems.
• Communicate with providers and departments to obtain required documentation and resolve discrepancies.
• Support audits and assist medical staff committees with credentialing reports and materials.

Skills

Medical staff credentialing

Credentialing processes

Primary source verification

Regulatory standards

Communication skills

Customer service

Attention to detail

Organization

Deadline management

Hospital bylaws

Education

Associate or bachelor’s degree in Health Administration or Business

Professional certification (preferred)

Tools

Credentialing software

Healthcare information systems

Job description

Company Description

SUNY Downstate Health Sciences University, formally known as The State University of New York Health Science Center at Brooklyn, is one of the nation’s leading urban medical centers serving the Brooklyn community and beyond. The institution traces its roots to 1860, when its founders helped transform medical education by emphasizing hands‑on clinical training at the hospital bedside. Today, SUNY Downstate includes a College of Medicine, College of Health Related Professions, College of Nursing, School of Graduate Studies, School of Public Health, and the University Hospital of Brooklyn. The university is an affirmative action, equal opportunity employer committed to creating an inclusive environment and does not discriminate on any protected basis under federal or state law. Applicants from women, minorities, veterans, individuals with disabilities, and members of underrepresented groups are strongly encouraged to apply, and reasonable accommodations are available through Human Resources.

Role Description

The Medical Staff Credentialing Specialist is a full-time, on-site role based in New York, NY. This role is responsible for coordinating and processing credentialing and re-credentialing for medical staff and allied health professionals, ensuring compliance with hospital bylaws, regulatory standards, and payer requirements. The Specialist reviews applications, verifies licenses, certifications, education, training, and work history, and maintains accurate credentialing records in designated systems. Day-to-day activities include communicating with providers and departments to obtain required documentation, resolving discrepancies, and supporting medical staff committees with credentialing‑related reports and materials. The role also involves working with Medicare and other payers, supporting audits, and collaborating with internal teams to help ensure timely onboarding and continuous eligibility of clinical staff.

Qualifications

• Candidates should possess strong skills in Medical Staff Credentialing and Credentialing processes, including primary source verification and compliance with regulatory standards.
• Candidates should possess effective Communication skills, both written and verbal, to interact professionally with providers, internal departments, and external agencies.
• Candidates should possess Customer Service skills to support medical staff and departments with timely, accurate information and responsive assistance.
• Relevant additional qualifications include attention to detail, strong organizational skills, and the ability to manage multiple cases and deadlines in a fast‑paced environment.
• Experience with credentialing software or healthcare information systems and familiarity with hospital bylaws, Joint Commission, and other regulatory standards are beneficial.
• Prior experience in a hospital or healthcare setting and an associate or bachelor’s degree in a related field (such as Health Administration or Business) are preferred.
• Professional certification in medical staff services or provider credentialing (e.g., CPCS or CPMSM) is a plus