CREDENTIALING SPECIALIST

About The Role

Under general supervision, performs the credentialing functions related to the initial and/or reappointment process for all LifeBridge Health providers. Provides administrative support to Credentialing Committees at LifeBridge Health System Hospitals as necessary. New credentialing database, CREDENTIALSTREAM!

Key Responsibilities

• Manages the documentation of the initial and/or reappointment application process at all LifeBridge facilities.
• Performs administrative duties and verifications within established policy and procedures and State and Joint Commission requirements.
• Initiates sending reappointment packet to providers and processes initial appointments based on departmental assignments.
• Completes required data entry into provider database.
• Completes required verification of information for assigned credentials files.
• Maintains accurate automated data files and ensures the complete and accurate maintenance of credentials files in assigned areas.
• Upon file completion, prepares credential file for Chief's signature.
• Prepares credential files for review at hospital specific Credentials Committee meetings.
• Tracks credentialing information through various committees.
• Works on special projects as needed.
• Verifies accuracy of required information. Specialist will verify via primary source (when possible) for each application: Current/prior hospital affiliations; Professional references; All completed verifications will be filed in the credentials file in appropriate order.
• Maintains a comprehensive credentialing database and prepares reports from physician profiles.
• Maintains accurate automated data files for assigned credentialing departments at all times.
• Prepares a variety of reports utilizing the credentialing software.
• Responsible for independent reporting to track necessary department-assigned providers receive applications in a timely fashion and are followed-up on according to established departmental timeframes.
• Specialist is responsible for querying reports and tracking files monthly.
• Displays quality customer service to internal and external customers.
• Responds to customers within one business day.
• Displays an understanding and awareness of the Hospital's Mission and Vision Statements.
• Displays a commitment to the value of teamwork by building strong relationships with internal and external customers.

Requirements

• Education: HS Diploma/GED required, AA degree preferred.
• Experience: 1-3 years of prior credentialing experience preferred. Will consider candidates with payer enrollment experience.

What We Offer

• Impact: Join a team that values innovation and outcomes, delivering life-saving care to our youngest and most vulnerable patients.
• Growth: Opportunities for professional development, including tuition reimbursement and developing foundational skills for neonatal critical care leadership and advanced certification.
• Support: A culture of collaboration with resources like unit-based practice councils and advanced clinical education support — improving both workflow efficiency and patient outcomes and allowing you to work at the top of your license.
• Benefits: Competitive compensation (additional compensation such as overtime, shift differentials, premium pay, and bonuses may apply depending on job), comprehensive health plans, free parking, and wellness programs.