Northwest Healthcare Tucson
Onsite Med Staff Credent Spec - Full Time
Northwest Healthcare Tucson, Tucson, Arizona, United States, 85718
Onsite Med Staff Credent Spec - Full Time
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Onsite Med Staff Credent Spec - Full Time
role at
Northwest Healthcare Tucson
Seeking an full-time onsite Medical Staff Credentialing Specialist to support our Medical Staff department at Northwest Medical Center, located on 6200 N La Cholla Blvd.
Day Shift: Schedule TBD
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.
Benefits As a core employee with Northwest Healthcare, you will be eligible for competitive base pay, and a robust total rewards compensation package. Included in our benefits package includes some of the following: health insurance, dental, vision, 401K, PTO, and more!
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
Seniority level Entry level
Employment type Full-time
Job function Health Care Provider
Industries: Hospitals and Health Care
Referrals Referrals increase your chances of interviewing at Northwest Healthcare Tucson by 2x
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
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Onsite Med Staff Credent Spec - Full Time
role at
Northwest Healthcare Tucson
Seeking an full-time onsite Medical Staff Credentialing Specialist to support our Medical Staff department at Northwest Medical Center, located on 6200 N La Cholla Blvd.
Day Shift: Schedule TBD
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.
Benefits As a core employee with Northwest Healthcare, you will be eligible for competitive base pay, and a robust total rewards compensation package. Included in our benefits package includes some of the following: health insurance, dental, vision, 401K, PTO, and more!
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
Seniority level Entry level
Employment type Full-time
Job function Health Care Provider
Industries: Hospitals and Health Care
Referrals Referrals increase your chances of interviewing at Northwest Healthcare Tucson by 2x
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr