Making Communities Healthier®
Medical Staff Credentialing Specialist
Location
Tennessee
Posted
2 days ago
Salary
$20 - $25 / hour
Seniority
Lead
Job Description
Medical Staff Credentialing Specialist
Lifepoint Health®
• Process initial appointments, reappointments, and privileging applications for physicians and advanced practice providers in accordance with Medical Staff Bylaws, accreditation standards, and organizational policies. • Perform comprehensive primary source verification of licensure, education, training, board certification, work history, professional references, malpractice coverage, sanctions, and other credentialing requirements. • Prepare credentialing files for review by Medical Staff Services leadership, credentialing committees, Medical Executive Committees, and Governing Boards. • Maintain provider credentialing records within MD-Staff and other credentialing systems while ensuring accuracy and regulatory compliance. • Collaborate closely with Medical Staff Professionals, providers, facility leadership, and department stakeholders to obtain required documentation and resolve credentialing deficiencies. • Monitor provider expirables, including licenses, DEA registrations, board certifications, malpractice insurance, and other required credentials to ensure ongoing compliance. • Support privileging activities, including processing delineation of privileges forms and maintaining provider privilege records. • Ensure compliance with Joint Commission, CMS, NCQA, state regulatory requirements, and Medical Staff Bylaws. • Manage multiple credentialing files simultaneously while meeting established turnaround times and service level expectations. • Participate in quality assurance activities, audits, and process improvement initiatives to support credentialing accuracy and operational effectiveness.
Job Requirements
- Minimum 2 years of provider credentialing experience required; hospital Medical Staff credentialing experience strongly preferred.
- Experience credentialing physicians, advanced practice, or other licensed healthcare providers.
- Experience performing primary source verification, provider file review, and credentialing compliance activities.
- Knowledge of Joint Commission, CMS, NCQA, and Medical Staff credentialing standards preferred.
- Experience supporting credentialing committees, Medical Executive Committees, privileging processes, or provider onboarding preferred.
- Experience utilizing credentialing systems such as MD-Staff, CredentialStream, Cactus, Symplr, or similar credentialing platforms preferred.
- Strong organizational skills with the ability to manage multiple provider files and competing deadlines simultaneously.
- Demonstrated ability to work independently in a remote environment while maintaining productivity and quality standards.
Benefits
- Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
- Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
- Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
- Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
- Professional Development: Ongoing learning and career advancement opportunities.
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