What are the responsibilities and job description for the Credentialing Specialist position at Mon Health?
Mon Health is dedicated to compassionate care and clinical excellence, emerging as an employer of choice and leader in education and training to enhance community health. As part of Vandalia Health, Mon Health includes Mon Medical Center, Preston Memorial Hospital, Stonewall Jackson Memorial Hospital, and Marion Neighborhood Hospital, along with several affiliates. The organization strives to serve and improve the well-being of the communities it supports through innovative healthcare services and team collaboration.
The Credentialing Specialist is a full-time, on-site role based in Morgantown, WV. This position entails overseeing and managing the credentialing and re-credentialing processes for healthcare providers, ensuring compliance with regulatory, accreditation, and internal standards. The role includes verifying provider credentials, coordinating updates required for payer enrollment such as Medicare, maintaining accurate records, and providing exceptional communication and customer service to all stakeholders.
- Proficiency in Credentialing and Medical Staff Credentialing processes
- Strong Communication and Customer Service skills
- Familiarity with Medicare and payer enrollment procedures
- Attention to detail and strong organizational skills
- Proactive problem-solving abilities and capability to meet deadlines
- Experience in healthcare administration or a related field is a plus
- Bachelor’s degree or equivalent work experience is preferred