Credentialing Specialist- Hospital

Job Overview

Are you organized to the nth degree? Do you look for patterns? Is credentialing your love language? Do you speak fluent “medical staff office”? Do your core values resonate with innovation, dedication, cooperation, compassion and integrity? If yes, read on! We don’t settle for good enough on our team, we’re passionate and obsessed about doing the right thing for our patients and our team members. Our team functions by following PPR- Polite, Professional, Respectful and we have room on our team for a team member who can contribute to overseeing the physician and APP facility credentialing process. You ensure accuracy, detailed status documentation, set follow-up actions for timely follow-up, verify your data and don’t just “move things off your plate.”

This Credentialing Specialist- Hospital role is in our central business office in Knoxville, TN. We will provide equipment, tools, and training to be successful. Your team members will share information, jokes, and the challenges of healthcare today. You will have consistent communication, feedback, and team interaction among the business areas. You will supply knowledge, dedication, willingness to improve the process, and desire to connect with internal and external partners to help us succeed, as well as provide a positive attitude, and willingness to follow our values. If interested, we’d love to consider you for our team.

Responsibilities

• Serve as the primary liaison between the organization, physicians/APPs, and partner facilities to ensure physicians/APPS maintain active medical staff appointments and clinical privileges necessary to deliver patient care.
• Oversees the credentialing lifecycle from provider onboarding through reappointment, ensuring all applications, documentation, and deadlines are completed accurately and on time.
• Properly communicates with practice leadership and documents all steps of the lifecycle in the practice system.
• Continuing Education Management for all physicians and APPs by monitoring status in relation to license renewal and/or board certification/MOC.
• MQSA data management to assist partner facilities in maintaining mammography data to ensure FDA requirements are met.

Qualifications

• High school diploma or General Education Degree (GED) (minimum), Associate’s degree (desired).
• Member of the NAMSS and/or TAMMS with a Certified Provider Credentialing Specialist (CPCS) (highly preferred).
• Healthcare credentialing, medical staff services, provider enrollment, or related healthcare administrative experience (required).
• Technology proficiency (required) includes credentialing software, Microsoft Office (including Word, Excel), internet (for research), and email.
• Must remain current in professional knowledge regarding credentialing requirements, partner facility requirements, federal and state programs, and general regulatory requirements for healthcare to assist IPS in remaining best in class within our community.
• Ability to communicate with physicians, business associates, and team members in a clear, professional, polite, and respectful manner including verbal, written, and electronic communication styles.
• Strong understanding of hospital credentialing and privileging processes.
• Excellent organizational and project management skills.
• Ability to manage multiple providers, facilities, deadlines, and competing priorities.
• Strong attention to detail and accuracy.
• Excellent written and verbal communication skills.
• Maintains accurate and complete documentation of all activities as required by internal controls and external regulations.
• Follow all company policies, procedures and applicable legal requirements in all job duties and tasks.
• Ability to maintain confidentiality and handle sensitive information appropriately.

Join our team to ensure that our organization maintains the highest standards of provider credentialing excellence—supporting safe patient care through rigorous compliance and efficient administrative processes!

Pay: $23.50 - $28.00 per hour

Expected hours: 40.0 per week

Benefits:

• 401(k)
• 401(k) matching
• AD&D insurance
• Dental insurance
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person

Salary : $24 - $28