What are the responsibilities and job description for the Credentialing Specialist position at Mon Health?
Company Description Mon Health is part of Vandalia Health and is recognized for compassionate care, clinical excellence, and a strong focus on education and training. As an employer of choice, Mon Health is committed to enhancing the health of the communities it serves. Vandalia Health Mon includes Vandalia Health Mon Medical Center, Vandalia Health Preston Memorial Hospital, Vandalia Health Mon Stonewall Jackson Memorial Hospital, and Vandalia Health Mon Marion Neighborhood Hospital, along with several affiliates. Team members work in a collaborative environment that supports professional growth and high-quality patient care.
Role Description The Credentialing Specialist is a full-time, on-site role located in Morgantown, WV. This role is responsible for managing and coordinating credentialing activities for medical staff and allied health professionals, ensuring compliance with organizational, state, and federal requirements. Day-to-day tasks include processing applications, verifying qualifications, maintaining accurate credentialing records, and monitoring expirations and renewals. The Credentialing Specialist collaborates with medical staff services, providers, and internal departments to resolve credentialing issues and support timely onboarding. This role also assists with audits, reporting, and adherence to Medicare and other payer standards.
Qualifications
Role Description The Credentialing Specialist is a full-time, on-site role located in Morgantown, WV. This role is responsible for managing and coordinating credentialing activities for medical staff and allied health professionals, ensuring compliance with organizational, state, and federal requirements. Day-to-day tasks include processing applications, verifying qualifications, maintaining accurate credentialing records, and monitoring expirations and renewals. The Credentialing Specialist collaborates with medical staff services, providers, and internal departments to resolve credentialing issues and support timely onboarding. This role also assists with audits, reporting, and adherence to Medicare and other payer standards.
Qualifications
- Candidates should possess skills in credentialing and medical staff credentialing, including application processing, verification, and compliance monitoring.
- Candidates should possess strong communication and customer service skills to interact effectively with providers, colleagues, and external agencies.
- Candidates should possess knowledge of Medicare and related regulatory and payer requirements.
- Attention to detail, organizational skills, and the ability to manage multiple priorities in a fast-paced environment.
- Proficiency with credentialing databases, Microsoft Office, and electronic record systems.
- Prior experience in healthcare credentialing, medical staff services, or a related field is preferred.
- Associate’s or bachelor’s degree in healthcare administration, business, or a related discipline is beneficial; equivalent experience may be considered.
- Certification in credentialing (e.g., CPCS or CPMSM) is a plus.