Credentialing Administrative Assistant

Job Description

The Credentialing and Privileging Administrative Assistant provides administrative support for the credentialing and privileging of medical, dental, pharmacy, and behavioral health staff. This position ensures that provider files are accurate, complete, and ready for review, and that the organization complies with governing body requirements for its FQHC look‑alike designation.

• Assist with the credentialing and privileging process for all provider types.
• Collect and verify provider documentation (licenses, certifications, education, training).
• Track expiration dates and notify providers and leadership of renewals.
• Maintain credentialing and privileging files utilizing the organization’s human resource software, compliance platforms, and spreadsheets.
• Forward pertinent credentialing and privileging documentation promptly to the Manager of Insurance Operations and Payer Credentialing.
• Prepare and organize credentialing and privileging materials and manage provider files.
• Assist with compliance and audit readiness related to the FQHC look‑alike designation.
• Provide general administrative support to the department as needed.

• A high school diploma or GED is required, and an associate’s degree in healthcare administration, business, or a related field is preferred.
• 1–3 years of administrative experience in a healthcare, HR, or compliance setting.
• Previous experience with credentialing or privileging preferred.

• National Association Medical Staff Services (NAMSS) certification:
  Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) preferred but not required.

• Strong organizational skills and attention to detail.
• Ability to manage multiple deadlines and priorities.
• Proficiency in Microsoft Office (Word, Excel, Outlook); must be comfortable working with spreadsheets.
• Ability to organize documents across different systems (HR software, compliance platforms, shared files).
• Strong written and verbal communication skills.
• Ability to handle confidential information appropriately.