What are the responsibilities and job description for the Credentialing Specialist position at Christ Community Health Services West Tennessee?
Company Description Christ Community Health Services West Tennessee is a faith-based healthcare organization dedicated to providing high-quality care to underserved populations through distinctly Christian service. With 12 locations strategically placed in medically underserved communities, the organization offers comprehensive primary care, dental, and pharmacy services. Team members collaborate to improve access to care and health outcomes for individuals and families who may otherwise face barriers to medical services. The organization values compassion, excellence, and integrity in delivering patient-centered care to diverse communities.
Role Description The Credentialing Specialist is a full-time, on-site role based in Memphis, TN, responsible for coordinating and managing provider credentialing and recredentialing processes. Day-to-day tasks include collecting and verifying provider documentation, maintaining accurate credentialing files, and ensuring compliance with regulatory, payer, and internal standards. The role involves working closely with medical staff, billing, and administrative teams to support timely enrollment with Medicare and other payers. The Credentialing Specialist will respond to inquiries from providers and internal stakeholders, track application status, and resolve issues that may delay credentials or enrollment. This role requires consistent attention to detail, adherence to deadlines, and a commitment to supporting quality patient care through efficient credentialing operations.
Qualifications
- Strong credentialing and medical staff credentialing experience, including managing provider enrollment and recredentialing processes.
- Knowledge of Medicare and other payer requirements, with the ability to interpret and apply credentialing regulations and guidelines.
- Effective communication and customer service skills to interact professionally with providers, staff, and external entities.
- High level of accuracy, organization, and attention to detail in handling documentation, data entry, and record maintenance.
- Experience working in a healthcare or clinical environment; familiarity with underserved or community health settings is beneficial.
- Proficiency with credentialing software, electronic health records, and standard office applications (e.g., Excel, Word).
- Ability to manage multiple tasks, prioritize workload, and meet deadlines with minimal supervision.
- High school diploma or equivalent required; postsecondary education or certification in medical staff services or healthcare administration is preferred.
- Commitment to the mission and values of Christ Community Health Services and respect for diverse backgrounds and beliefs.