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Medical Staff Credentialing Specialist - Full-Time - Onsite

Community Health Systems

Roswell, NMFull-timeSeen 1mo agoSeen in employer's feed 3 days ago

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At a glance

Compensation
No compensation found
Location
Roswell, NM
Schedule
Full-time
Work Authorization
Not specified

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Job overview

The Medical Staff Credentialing Specialist will support the Medical Staff department at Eastern New Mexico Medical Center, coordinating credentialing and privileging processes for medical and allied health professionals, ensuring compliance with regulatory standards, and maintaining accurate credentialing data while contributing to professional development and career advancement opportunities.

Skills & qualifications

RequiredNice to have

Skills

Credentialing SoftwareMicrosoft Office SuiteGoogle SuiteOrganizational SkillsAttention to DetailCommunicationMedical TerminologyRegulatory Requirements

Qualifications

Associate Degree0-2 Years Credentialing ExperienceCertified Provider Credentialing Specialist (CPCS)

Benefits

Medical Insurance
Dental Insurance
Vision Insurance
401(k) Match
Paid Time Off

Full job description

Seeking a full-time Medical Staff Credentialing Specialist to support our Medical Staff department at Eastern New Mexico Medical Center, located at 405 W Country Club Rd, Roswell, NM.

Day Shift: Monday - Friday during normal business hours. No weekends or holidays.

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 Perk

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 preferred

  • 0-2 years of credentialing experience, preferably in a hospital or healthcare setting preferred

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

Equal Employment Opportunity

This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to http://www.chs.net/serving-communities/locations/ to obtain the main telephone number of the facility and ask for Human Resources.

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