Medical Staff Credentialing Specialist

This is a fully remote position, open to applicants in Tennessee.

📋 Description

• Manage initial appointments, reappointments, and privileging applications for physicians and advanced practice providers.

• Conduct primary source verification of licensure, education, training, board certification, work history, professional references, malpractice coverage, sanctions, and other credentialing necessities.

• Compile credentialing files for evaluation by Medical Staff Services leadership, credentialing committees, Medical Executive Committees, and Governing Boards.

• Maintain provider credentialing records in MD-Staff and additional credentialing systems.

• Collaborate with Medical Staff Professionals, providers, facility leadership, and departmental stakeholders to gather documentation and address credentialing deficiencies.

• Oversee provider expirables, including licenses, DEA registrations, board certifications, malpractice insurance, and other required credentials.

• Assist with privileging activities, including processing delineation of privileges forms and maintaining provider privilege records.

• Ensure adherence to Joint Commission, CMS, NCQA, state regulatory requirements, and Medical Staff Bylaws.

• Handle multiple credentialing files while adhering to established turnaround times and service level expectations.

• Engage in quality assurance activities, audits, and process improvement initiatives.

⛳️ Requirements

• High school diploma or equivalent, or a combination of education and experience relevant to the position is required.

• A minimum of 2 years of provider credentialing experience is required.

• Experience in credentialing physicians, advanced practice providers, or other licensed healthcare professionals is necessary.

• Proven experience in performing primary source verification, provider file review, and credentialing compliance activities.

• Familiarity with Joint Commission, CMS, NCQA, and Medical Staff credentialing standards is preferred.

• Experience supporting credentialing committees, Medical Executive Committees, privileging processes, or provider onboarding is preferred.

• Prior experience with credentialing systems such as MD-Staff, CredentialStream, Cactus, Symplr, or similar credentialing platforms is preferred.

• Strong organizational abilities to manage multiple provider files and competing deadlines simultaneously.

• Ability to work independently in a remote setting while upholding productivity and quality standards.

• Must be authorized to work in the United States without employer sponsorship.

• Must reside in an approved state; applicants residing in AK, CA, HI, ND, RI, VT, DC, or PR are ineligible.

🏝️ Benefits

• Multiple levels of medical, dental, and vision coverage for both full-time and part-time employees.

• Life, accident, critical illness, and hospital indemnity insurance options.

• Short- and long-term disability benefits.

• Paid family leave.

• Paid time off.

• Tuition assistance for higher education and certification.

• Loan assistance programs.

• 401(k) retirement plan with company matching.

• Wellness programs focusing on mental, physical, and financial health.

• Complimentary gym memberships.

• Virtual care appointment options.

• Mental health services provided.

• Discount programs available.

• Continuous learning and career advancement opportunities.

• Fully remote work arrangement.