Business Administration, Certified Provider Credentialing Specialist (CPCS), Communication Skills, Content Management Systems (CMS), Data Quality, Detail Oriented, Documentation, External Audit, File Audits, Healthcare, Healthcare Administration, Hospital, Internal Audit, Leadership, Life Insurance, Maintain Compliance, Medical Office Administration, Medical Terminology, Metrics, Microsoft Excel, Microsoft Office, Microsoft Outlook, Microsoft Word, Multitasking, National Committee for Quality Assurance (NCQA), Organizational Skills, Performance Reviews, Presentation/Verbal Skills, Provider Credentialing, Regulations, Regulatory Requirements, Reporting Skills, The Joint Commission (TJC), Time Management, Vision Plan, Writing Skills
Seeking a full-time Medical Staff Credentialing Specialist to support our Medical Staff department at Mat-Su Regional Medical Center, located at 2500 S Woodworth Loop, Palmer AK.
Day Shift: Monday - Friday, can be flexible but will need work during normal business hours.
We know it's not just about finding a job. It's about finding a place where you are respected, valued, and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.
What we Offer:
Competitive Pay
Medical, Dental, Vision, and Life Insurance
Generous Paid Time Off (PTO)
Extended Illness Bank (EIB)
Matching 401(k)
Opportunities for Career Advancement
Rewards & Recognition Programs
Exclusive Discounts and Perks
Job Summary
The Medical Staff Credentialing Specialist is responsible for coordinating the credentialing and privileging processes for medical staff and allied health professionals. This includes reviewing and processing initial applications, reappointments, and privileges; ensuring compliance with regulatory, accreditation, and organizational standards; and maintaining accurate credentialing data. The role collaborates with medical staff leaders, administrative personnel, and external agencies to ensure timely, accurate credentialing and ongoing provider eligibility.
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 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.
- Assists 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 in Healthcare Administration, Business Administration, or a related field preferred
- 2-4 years of credentialing experience, preferably in a hospital or healthcare setting required
Knowledge, Skills and Abilities
- 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.
Licenses and Certifications
- Certified Provider Credentialing Specialist (CPCS) preferred
C
Community Health Systems Inc
Community Health Systems, Inc. is a non-profit 501 (c) (3) 330 HRSA Grantee with Federally Qualified Health Center (FQHC) status. Established from the roots of Inland Empire Community Health Center in Bloomington, CHSI has grown with community health centers in the counties of Riverside, San Bernardino, and San Diego. These centers have been developed in accordance with standards established for safety net providers by the U.S. Department of Health and Human Services (HHS), the Health Resources Services Administration (HRSA), the Public Health Service (PHS), and the Bureau of Primary Health Care (BPHC).
As such, services are offered to the neediest in each community - the un-insured and under-insured, the working poor, those with limited ability to pay, the homeless, and the indigent. Services are provided at discounted (sliding fee scale) rates for those who qualify based on gross annual income and family size.