Medical Staff Credentialing Specialist

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

📋 Description

• Process 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 requirements.

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

• Maintain provider credentialing records within MD-Staff and other credentialing systems.

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

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

• Assist with privileging activities and uphold provider privilege records.

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

• Manage various credentialing files while meeting turnaround times and service level expectations.

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

⛳️ Requirements

• High school diploma or equivalent, or a combination of education and experience required for the role.

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

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

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

• Hospital Medical Staff credentialing experience is strongly preferred.

• 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.

• Proficiency in utilizing MD-Staff, CredentialStream, Cactus, Symplr, or similar credentialing platforms is preferred.

• Strong organizational skills with the ability to manage multiple provider files and competing deadlines.

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

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

• Must reside in an approved state; applicants living in AK, CA, HI, ND, RI, VT, DC, or PR are not eligible.

🏝️ Benefits

• Medical, dental, and vision coverage.

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

• Short- and long-term disability insurance.

• Paid family leave.

• Paid time off.

• Higher education and certification tuition assistance.

• Loan assistance.

• 401(k) retirement package with company match.

• Mental, physical, and financial wellness programs.

• Free gym memberships.

• Virtual care appointments.

• Mental health services.

• Discount programs.

• Ongoing learning and career advancement opportunities.

• Fully remote work arrangement.