Credentialing Specialist – Full Time, Day Shift

• Coordinate and manage credentialing and recredentialing processes for new and existing NCPS clinicians across internal and external affiliations
• Communicate with providers, hospitals, Medical Staff Offices, credentialing bodies, and other stakeholders
• Obtain, prepopulate, review, verify, submit, and track credentialing applications and supporting documentation
• Support provider onboarding through intake, document collection, milestone tracking, orientation readiness, and start-date preparedness
• Maintain accurate provider records, credentialing files, licenses, certifications, education, training, and professional references in electronic databases and other systems
• Monitor expiring credentials and privileges, notify providers, and follow up on timely renewals
• Process credentialing fees as applicable
• Resolve credentialing issues and discrepancies with providers and hospitals
• Complete credentialing tasks within timelines and proactively communicate progress and issues
• Provide regular updates to leadership and maintain high-quality, accurate outputs
• Develop and maintain relationships with providers, affiliate organizations, Medical Staff Offices, hospitals, and regulatory bodies
• Provide support, guidance, training, and answers to questions about credentialing and privileging
• Participate in quality improvement activities, analyze data, identify improvements, and implement process improvements
• Ensure NCPS providers are credentialed, recredentialed, and, where applicable, privileged at all locations where services are rendered
• Partner with practice leadership, operations, TM& , Medical Staff Offices, and affiliate contacts to resolve onboarding and credentialing readiness issues
• Support MSO and telehealth credentialing readiness activities; payer enrollment functions are excluded unless specifically assigned

• 1–3 years of healthcare credentialing, provider onboarding, medical staff services, or related healthcare operations experience
• Bachelor's degree in Health Administration, Business, or related field preferred
• NAMSS Certification preferred
• Experience in provider credentialing software, such as Cactus or Parallon, preferred
• Highly organized in managing schedules, duties, workflows, and responsibilities
• Ability to organize and prioritize work effectively
• Willingness to take direction and apply learning
• Strong verbal and written communication skills
• Strong attention to detail
• Exceptional customer service skills
• Ability to communicate diplomatically within a multifunctional team
• Ability to work in a fast-paced environment and meet multiple deadlines
• Excellent problem-solving ability
• Ability to communicate complex technology concepts to diverse audiences
• Strong ability to learn new software and processes
• Continual process improvement mindset

Demonstrates expertise in healthcare credentialing processes, provider onboarding, and maintaining accurate provider records. Proficient in managing relationships with stakeholders and ensuring compliance with credentialing standards.

• Healthcare Credentialing
• Provider Onboarding
• NAMSS Certification
• Credentialing Software Experience
• Attention to Detail

• Credentialing Processes
• Document Collection
• Data Analysis
• Quality Improvement
• Milestone Tracking

• Strong Verbal Communication
• Strong Written Communication
• Customer Service Skills
• Organizational Skills
• Problem-Solving Ability

• NAMSS Certification

• Healthcare Operations
• Medical Staff Services
• Credentialing Bodies
• Regulatory Bodies
• Provider Records

• Cactus
• Parallon