What are the responsibilities and job description for the Credentialing Specialist position at Management Support Services?
We are seeking a highly organized and detail-oriented Credentialing Specialist to join our team. This position will play a critical role in coordinating the credentialing and recredentialing of physicians and other clinical providers in multiple states.
The Credentialing Specialist will work with the Credentialing Lead from initial application through ongoing maintenance, including physician credentialing, hospital medical staff applications and privileges, payer enrollment, licensing, certifications, and recredentialing.
Job requirements:
- Coordinate initial and recredentialing processes for physicians and applicable advanced practice providers.
- Collect, verify, and maintain provider credentials, including medical licenses, DEA registrations, board certifications, NPI information, malpractice coverage, education, training, work history, and other required documentation.
- Assist in provider enrollment and credentialing applications for commercial insurance plans, Medicare, Medicaid, and other payers.
- Maintain and monitor provider information in CAQH and other credentialing systems.
- Track license, certification, insurance, and other expiration dates and proactively initiate renewals.
- Maintain provider compliance
- Coordinate hospital credentialing, privileging, and onboarding requirements.
- Track hospital privileges, committee review dates, temporary privileges, and reappointment deadlines.
- Communicate with hospital Medical Staff Offices regarding application status, missing documentation, and outstanding requirements.
- Partner with Human Resources, physician leadership, practice leadership, and hospital Medical Staff Offices to coordinate provider onboarding.
- Develop provider-specific credentialing checklists and timelines.
- 2–4 years of experience in provider credentialing, medical staff services, payer enrollment, healthcare administration, or a related healthcare field.
- Experience with physician credentialing and/or hospital medical staff credentialing.
- Strong understanding of credentialing, privileging, and provider enrollment processes.
- Experience working with CAQH, payer enrollment systems, or hospital credentialing systems preferred.
- Strong organizational and time-management skills.
- Exceptional attention to detail and follow-through.
- Ability to manage multiple providers, applications, facilities, and deadlines simultaneously.
- Excellent written and verbal communication skills.
- Ability to maintain confidentiality and exercise sound judgment when handling sensitive information.
- Opptional on call available
- Proficiency with Microsoft Office, particularly Excel, Word, and Outlook.
This is a full time position with benefits including health insurance, 401K, vision, and dental as well as paid time off. Apply to learn more.
EEO Employer:
Company is an equal opportunity employer and does not discriminate on the basis of any legally protected status or characteristic. Minority/Female/Sexual Orientation/Gender Identity/Disability/Veteran.
Company is committed to providing a work environment that is free from unlawful discrimination and harassment in any form. Company will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Paid time off
- Parental leave
- Retirement plan
- Vision insurance
Work Location: In person
Pay: $22.00 - $23.00 per hour
Expected hours: 40.0 per week
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
Work Location: In person
Salary : $22 - $23