Medical Staff Credentialing Specialist - Full-Time - Onsite

Job Summary

The Medical Staff Credentialing Specialist supports the Medical Staff department at Eastern New Mexico Medical Center, located at 405 W Country Club Rd, Roswell, NM. This position works day shifts Monday through Friday, excluding weekends and holidays.

Essential Functions

• Reviews and processes credentialing and recredentialing applications to ensure completeness and accuracy.
• Verifies provider credentials through primary sources, including licensure, education, training, and malpractice history.
• Maintains provider information in the credentialing database and tracks expirations for licenses, board certifications, and other requirements.
• Ensures adherence to standards set by The Joint Commission, CMS, NCQA, and other regulatory or accrediting bodies.
• Prepares credentialing files and documentation for review by medical staff committees and leadership.
• Affords assistance with the coordination and documentation of medical staff meetings and committee reviews.
• Communicates with providers, department heads, regulatory agencies, and other healthcare entities to resolve credentialing-related issues.
• Supports internal and external audits of credentialing files and activities.
• Generates reports and metrics related to credentialing, reappointment, and provider eligibility.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Qualifications

• Associate Degree preferred
• 0-2 years of credentialing experience, preferably in a hospital or healthcare setting preferred
• Proficient in credentialing software such as MD-Staff or similar platforms, or ability to learn new systems quickly
• Excellent organizational skills and attention to detail
• Strong verbal and written communication skills
• Proficient in Microsoft Office Suite (Excel, Word, Outlook) and Google Suite
• Ability to handle sensitive and confidential information with professionalism and discretion
• Familiarity with medical terminology and regulatory requirements relevant to medical staff credentialing
• Ability to manage multiple priorities and meet deadlines independently
• Certified Provider Credentialing Specialist (CPCS) preferred