Credentialist II

Job Description

Make an Impact Behind the Scenes of Patient Care
Every exceptional patient experience begins with exceptional providers — and behind every qualified provider is a credentialing professional who ensures quality, compliance, and excellence. We’re seeking a detail-oriented, highly organized Credentialist II to join our Medical Staff Services team. In this role, you will play a critical part in safeguarding patient safety, maintaining regulatory compliance, and supporting the integrity of our Medical Staff operations. If you thrive in a fast-paced healthcare environment, enjoy working with physicians and leadership, and have a strong eye for detail, we’d love to connect with you.

What You’ll Do

• Credentialing & Compliance
  Perform all phases of credentialing for initial appointments and reappointments
  Verify licensure, BNDD, DEA, privileges, OPPE, FPPE, PI data, and other regulatory requirements
  Ensure compliance with Medical Staff Bylaws, Credentialing Plan, policies, and accrediting bodies
  Prepare files for audits (TJC, CMS, NCQA) and conduct compliance reviews
  Maintain and audit credentialing files (electronic and paper)
• Database & Reporting
  Maintain accuracy in the CACTUS database
  Track credentialing activities through logs and reporting tools
  Generate rosters, reports, queries, and credentialing documentation as needed
• Committee & Administrative Support
  Prepare application packets and credentialing correspondence
  Support Credentials Committee preparation and documentation
  Record, transcribe, and maintain Medical Staff meeting minutes as needed
  Assist with temporary privileges and affiliation verifications
  Provide administrative support to ensure smooth department operations

What You Bring

• Minimum Qualifications
  High School Diploma or GED
  3+ years of experience in:
  - Medical staff credentialing
  - Managed care credentialing
  - An academic medical center working with physicians and administrative processes
  Strong computer proficiency and database experience
  Exceptional attention to detail and accuracy
  Ability to manage multiple deadlines and competing priorities
  Experience taking minutes and supporting committees
  Strong interpersonal skills and ability to work effectively with physicians and leadership
  Ability to exercise independent judgment and diligence in credentialing activities
• Preferred Qualifications
  Medical center credentialing experience in a hospital setting