Medical Staff Credentialing Specialist

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

📋 Description

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

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

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

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

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

• Monitor the expiration dates for provider credentials, including licenses, DEA registrations, board certifications, malpractice insurance, and other required credentials.

• Assist with privileging activities and keep provider privilege records updated.

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

• Oversee multiple credentialing files while achieving 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 position.

• At least 2 years of experience in provider credentialing is necessary.

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

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

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

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

• Experience using credentialing systems such as MD-Staff, CredentialStream, Cactus, Symplr, or similar credentialing platforms is preferred.

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

• Demonstrated ability to work independently in a remote setting while sustaining productivity and quality standards.

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

• Candidates must reside in an approved state; applicants from AK, CA, HI, ND, RI, VT, DC, or PR will not be considered.

🏝️ Benefits

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

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

• Short- and long-term disability insurance.

• Paid family leave and paid time off.

• Tuition assistance for higher education and certification.

• Loan assistance.

• 401(k) retirement plan with company match.

• Programs for mental, physical, and financial wellness.

• Complimentary gym memberships.

• Virtual care appointments.

• Mental health services and discount programs.

• Continuous learning and career advancement opportunities.