Medical Staff Credentialing Specialist
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Job Description
Medical Staff Credentialing Specialist processing provider credentials for Lifepoint Health’s community healthcare network. Maintaining compliance, privileging records, and timely onboarding remotely.
Responsibilities:
- Process initial appointments, reappointments, and privileging applications for physicians and advanced practice providers
- Perform primary source verification of licensure, education, training, board certification, work history, professional references, malpractice coverage, sanctions, and other credentialing requirements
- Prepare credentialing files for review by Medical Staff Services leadership, credentialing committees, Medical Executive Committees, and Governing Boards
- Maintain provider credentialing records in MD-Staff and other credentialing systems
- Collaborate with Medical Staff Professionals, providers, facility leadership, and department stakeholders to obtain documentation and resolve deficiencies
- Monitor provider expirables, including licenses, DEA registrations, board certifications, malpractice insurance, and other credentials
- Support privileging activities and maintain provider privilege records
- Ensure compliance with Joint Commission, CMS, NCQA, state regulatory requirements, and Medical Staff Bylaws
- Manage multiple credentialing files while meeting turnaround times and service level expectations
- Participate in quality assurance activities, audits, and process improvement initiatives
Requirements:
- High school diploma or equivalent, or combination of education and experience required for the job
- Minimum 2 years of provider credentialing experience required
- Experience credentialing physicians, advanced practice, or other licensed healthcare providers
- Experience performing primary source verification, provider file review, and credentialing compliance activities
- Hospital Medical Staff credentialing experience strongly preferred
- Knowledge of Joint Commission, CMS, NCQA, and Medical Staff credentialing standards preferred
- Experience supporting credentialing committees, Medical Executive Committees, privileging processes, or provider onboarding preferred
- Experience utilizing MD-Staff, CredentialStream, Cactus, Symplr, or similar credentialing platforms preferred
- Strong organizational skills and ability to manage multiple provider files and competing deadlines
- Ability to work independently in a remote environment while maintaining productivity and quality standards
- Must be authorized to work in the United States without employer sponsorship
- Must reside in an approved state; applicants residing in AK, CA, HI, ND, RI, VT, DC, or PR are not eligible
Benefits:
- Medical, dental, and vision coverage
- Life, accident, critical illness, and hospital indemnity insurance
- Short- and long-term disability insurance
- Paid family leave
- Paid time off
- Higher education and certification tuition assistance
- Loan assistance
- 401(k) retirement package and company match
- Mental, physical, and financial wellness programs
- Free gym memberships
- Virtual care appointments
- Mental health services
- Discount programs
- Ongoing learning and career advancement opportunities
- Fully remote work arrangement
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