Medical Staff Credentialing Specialist I

Covenant HealthCare; Saginaw (MI); On-site; USD 42,000 - 66,000; Full time

Job summary

Covenant HealthCare is seeking a Credentialing Specialist I to manage the full credentialing lifecycle for physicians, APPs, and non-physician practitioners. You will verify credentials, maintain files, and ensure compliance with ACHC, state and federal regulations.

You will coordinate applications, eligibility reviews, and privileging decisions while supporting annual dues, meetings, and reporting. Strong MS Office and MD Staff experience are preferred.

Qualifications

• Associate's degree or equivalent experience in health services administration, healthcare administration or business.
• Experience with medical staff services, credentialing or payor enrollment preferred.
• Basic knowledge of medical terminology and Microsoft Office required.

Responsibilities

• Coordinate initial and reappointment credentialing/privileging for physicians and non-physician practitioners.
• Obtain primary source verification and ensure files are accurate and compliant.
• Prepare provider summaries and assist with committee reviews.
• Maintain credentialing databases and ensure HIPAA compliance.

Skills

Customer service

Attention to detail

MS Office

Communication skills

Education

Associate's Degree in Health Services Administration or Business

High school diploma with two years of related experience

Tools

MD Staff Software

Job description

Covenant HealthCare is seeking a Credentialing Specialist I to manage the full credentialing lifecycle for physicians, APPs, and non-physician practitioners. You will verify credentials, maintain files, and ensure compliance with ACHC, state and federal regulations.

You will coordinate applications, eligibility reviews, and privileging decisions while supporting annual dues, meetings, and reporting. Strong MS Office and MD Staff experience are preferred.