Medical Staff Credentialing Specialist - Full-Time - Onsite

CHS Career Site

Roswell (NM)

On-site

USD 42,000 - 55,000

Full time

14 days+

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Benefits offered by this job

Competitive Pay
Medical, Dental, Vision, and Life Ins.
Paid Time Off
401(k)
Career Advancement Opportunities
Rewards & Recognition Programs
Exclusive Discounts

Job summary

Eastern New Mexico Medical Center in Roswell, NM seeks a full-time Medical Staff Credentialing Specialist to coordinate credentialing and privileging for medical staff and allied health professionals. You’ll review applications, verify credentials, and maintain data to ensure timely provider eligibility and compliance with standards.

The role collaborates with medical staff leaders and administrative personnel to support audits and ongoing credentialing activities while ensuring accuracy and

Qualifications

  • Credentialing experience in a hospital or healthcare setting preferred.
  • Knowledge of licensure, education, training, and malpractice history verification.
  • Familiarity with Joint Commission, CMS, NCQA standards is a plus.
  • Ability to maintain accurate credentialing data and timely expirations.

Responsibilities

  • Coordinate credentialing and recredentialing processes for medical staff.
  • Review initial applications and privileges for completeness and accuracy.
  • Verify provider credentials through primary sources and documentation.
  • Maintain credentialing database and track license/board certifications.
  • Prepare files for review by committees and leadership.
  • Assist with audits and generate credentialing metrics.
  • Communicate with providers and regulatory agencies to resolve issues.

Skills

Credentialing software proficiency
Organizational skills
Verbal and written communication
Microsoft Office Suite
Google Suite
Sensitive information handling
Medical terminology knowledge
Multitasking

Education

Associate Degree

Tools

MD-Staff
Microsoft Office
Google Workspace

Job description

Seeking a full-time Medical Staff Credentialing Specialist to support our Medical Staff department at Eastern New Mexico Medical Center, located at 405 W Country Club Rd, Roswell, NM.

Day Shift: Monday - Friday during normal business hours. No weekends or holidays.

We know it's not just about finding a job. It's about finding a place where you are respected, valued, and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.

What we Offer:
  • Competitive Pay
  • Medical, Dental, Vision, and Life Insurance
  • Generous Paid Time Off (PTO)
  • Extended Illness Bank (EIB)
  • Matching 401(k)
  • Opportunities for Career Advancement
  • Rewards & Recognition Programs
  • Exclusive Discounts and Perk
Job Summary

The Medical Staff Credentialing Specialist is responsible for coordinating the credentialing and privileging processes for medical staff and allied health professionals. This includes reviewing and processing initial applications, reappointments, and privileges; ensuring compliance with regulatory, accreditation, and organizational standards; and maintaining accurate credentialing data. The role collaborates with medical staff leaders, administrative personnel, and external agencies to ensure timely, accurate credentialing and ongoing provider eligibility.

Essential Functions
  • Reviews and processes credentialing and recredentialing applications to ensure completeness and accuracy.
  • Verifies provider credentials through primary sources, including licensure, education, training, and malpractice history.
  • Maintains provider information in credentialing database and tracks expirations for licenses, board certifications, and other requirements.
  • Ensures adherence to standards set by The Joint Commission, CMS, NCQA, and other regulatory or accrediting bodies.
  • Prepares credentialing files and documentation for review by medical staff committees and leadership.
  • Assists with the coordination and documentation of medical staff meetings and committee reviews.
  • Communicates with providers, department heads, regulatory agencies, and other healthcare entities to resolve credentialing-related issues.
  • Supports internal and external audits of credentialing files and activities.
  • Generates reports and metrics related to credentialing, reappointment, and provider eligibility.
  • Performs other duties as assigned.
  • Maintains regular and reliable attendance.
  • Complies with all policies and standards.
Qualifications
  • Associate Degree preferred
  • 0-2 years of credentialing experience, preferably in a hospital or healthcare setting preferred
Knowledge, Skills and Abilities
  • Proficient in credentialing software such as MD-Staff or similar platforms, or ability to learn new systems quickly.
  • Excellent organizational skills and attention to detail.
  • Strong verbal and written communication skills.
  • Proficient in Microsoft Office Suite (Excel, Word, Outlook) and Google Suite.
  • Ability to handle sensitive and confidential information with professionalism and discrimination.
  • Familiarity with medical terminology and regulatory requirements relevant to medical staff credentialing.
  • Ability to manage multiple priorities and meet deadlines independently.
Licenses and Certifications
  • Certified Provider Credentialing Specialist (CPCS) preferred
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