Credentialing Specialist

Credentialing Specialist
Location: Hybrid or Remote
Job Type: Full-Time

Are you a detailed credentialing professional who thrives in a fast-paced, high-accountability environment? We're looking for a Credentialing Specialist who brings expertise, initiative, and a proactive mindset to join our growing team. If you have hands-on experience credentialing medical staff and providers across multiple hospitals and health systemsand can manage complex processes with minimal supervisionwe want to hear from you.

Note: This is not a billing or provider enrollment role. We're looking specifically for experience in medical staff and provider credentialing within hospitals or health systems.

• Lead the full-cycle credentialing process for physicians and advanced practice providers across multiple hospitals and health systems.

• Submit and track applications and supporting documents, ensuring everything is complete, accurate, and submitted on time.

• Perform primary source verifications to validate credentials with precision.

• Serve as a key liaison between internal teams and external partners, maintaining clear, professional communication at all times.

• Maintain compliance with hospital, payer, and regulatory standardsincluding NCQA and The Joint Commission.

• Update and manage CAQH profiles and other credentialing databases regularly.

• Track application status and resolve issues promptly to prevent delays.

• Proactively monitor deadlines for licensure, certification, and privileges, ensuring timely renewals.

• Balance multiple priorities, adapt to shifting demands, and maintain high standards under pressure.

• Work independently and as part of a collaborative team to ensure no credentialing task falls through the cracks.

• Strong working knowledge of hospital medical staff credentialing processes.

• Ability to work autonomously and apply credentialing requirements across various systems with minimal direction.

• Excellent verbal communication skills and confidence speaking with stakeholders over the phone and in writing.

• Impeccable attention to detail, organizational strength, and follow-through.

• Professionalism, sound judgment, and a solution-oriented mindset.

• Prior experience credentialing across multiple health systems or within a complex healthcare organization.

• Familiarity with medical staff bylaws, NCQA standards, or The Joint Commission requirements.

• Proficiency with credentialing software, CAQH, and healthcare databases.

• Ability to thrive under pressure and meet tight deadlines without compromising accuracy.

• Demonstrated accountability, reliability, and collaborative spirit.

Why Join Us?
You'll be part of a dedicated team that values quality, accuracy, and proactive thinking. We offer a collaborative culture where your expertise is respected, and your contributions make a direct impact on the healthcare professionals we support.

Ready to Apply?
If you're an experienced credentialing professional who takes pride in getting the details right, wed love to meet you. Apply today and help us maintain the gold standard in credentialing excellence.

#WUCCareers

• 2 - 5 years: CAQH

• 3 - 5 years: Urgent Care
• 3 - 5 years: Revenue Cycle
• 3 - 5 years: Credentialing

• Associates or better
• High School or better

• Team Player: Works well as a member of a group
• Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
• Dedicated: Devoted to a task or purpose with loyalty or integrity

• Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization
• Self-Starter: Inspired to perform without outside help
• Flexibility: Inspired to perform well when granted the ability to set your own schedule and goals

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.