Medical Staff Credentialing Specialist

Hartford HealthCare; Wethersfield (CT); On-site; USD 52,000 - 76,000; Full time

Job summary

Hartford HealthCare in Connecticut seeks a Medical Staff Credentialing Specialist to manage credentialing for providers, securing primary source verification and maintaining databases. This 100% in-person role requires strong regulatory knowledge and meticulous documentation across medical staff processes.

The ideal candidate brings 3–5 years of hospital admin experience and 3+ years in credentialing, with an Associate degree (Bachelor’s preferred) and plans to obtain CPCS within a year.

Qualifications

• Associate's Degree required; Bachelor’s Degree preferred.
• 3–5 years experience in hospital administrative support.
• 3+ years experience with medical staff credentialing; CPCS certification within 1 year.

Responsibilities

• Processes applications to the medical staff in accordance with bylaws and regulatory standards.
• Maintains the Medical Staff Credentialing database and interacts with external databases.
• Produces and replies to general correspondence; prepares files for leadership review and flags issues.
• Notifies departments and units of new providers; handles temporary privileges and reappointments.
• Responds to verification inquiries and coordinates with applicants and leadership.

Skills

Credentialing

Healthcare admin

Regulatory compliance

Education

Associate degree

Bachelor's degree preferred

Job description

Location Detail: 1290 Silas Deane Hwy Wethrsfld (10181)

Shift Detail: Monday-Friday

Work where every moment matters.

Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network.

Responsibilities

The Medical Staff Credentialing Specialist carries out the credentialing function for providers to obtain medical staff membership status and clinical privileges with Hartford HealthCare Responsibilities include but, are not limited to:

• Processes applications to the medical staff in accordance with hospital specific bylaws and regulatory standards.
• Prioritizes applications in the queue to assure timely processing and approval by leadership groups.
• Maintains the Medical Staff Credentialing database and interacts with external databases.
• Secures documents for primary source verification.
• Produces and replies to general correspondence. Prepares files for medical staff leadership review, identifying “flags” in the application.
• Processes requests for temporary privileges and reappointment applications.
• Tracks all expirables (licenses, registrations, etc.)
• Notifies various departments and units of new providers.
• Responds to verification inquiries concerning current or previous medical staff members. Interacts on a regular basis with applicants (physicians and allied health), medical staff leadership, regulatory agencies, and healthcare facilities.
• Maintains and can communicate a thorough knowledge of the medical staff bylaws.
• This is 100% in person role***

Qualifications

Education

• Associate’s Degree required; Bachelor’s Degree preferred

Experience

• 3-5 years experience in a hospital administrative support role
• 3+ years experience with medical staff credentialing strong preferred
• Willing to obtain CPCS certification within one year

We take great care of careers.

With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge – helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment