Piedmont Urgent Care Defunct
Are you a detailed credentialing professional who thrives in a fast-paced, high-accountability environment? We're looking for a Credentialing Specialist who brings expertise, initiative, and a proactive mindset to join our growing team. If you have hands-on experience credentialing medical staff and providers across multiple hospitals and health systems—and can manage complex processes with minimal supervision—we want to hear from you.
Note: This is not a billing or provider enrollment role. We're looking specifically for experience in provider credentialing within hospitals or health systems.
What You'll Do:
- Lead the full-cycle credentialing process for physicians and advanced practice providers across multiple hospitals and health systems.
- Submit and track applications and supporting documents, ensuring everything is complete, accurate, and submitted on time.
- Perform primary source verifications to validate credentials with precision.
- Serve as a key liaison between internal teams and external partners, maintaining clear, professional communication at all times.
- Maintain compliance with hospital, payer, and regulatory standards—including NCQA and The Joint Commission.
- Update and manage CAQH profiles and other credentialing databases regularly.
- Track application status and resolve issues promptly to prevent delays.
- Proactively monitor deadlines for licensure, certification, and privileges, ensuring timely renewals.
- Balance multiple priorities, adapt to shifting demands, and maintain high standards under pressure.
- Work independently and as part of a collaborative team to ensure no credentialing task falls through the cracks.
- Strong working knowledge of hospital medical staff credentialing processes.
- Ability to work autonomously and apply credentialing requirements across various systems with minimal direction.
- Excellent verbal communication skills and confidence speaking with stakeholders over the phone and in writing.
- Impeccable attention to detail, organizational strength, and follow-through.
- Professionalism, sound judgment, and a solution-oriented mindset.
- Prior experience credentialing across multiple health systems or within a complex healthcare organization.
- Familiarity with medical staff bylaws, NCQA standards, or The Joint Commission requirements.
- Proficiency with credentialing software, CAQH, and healthcare databases.
- Ability to thrive under pressure and meet tight deadlines without compromising accuracy.
- Demonstrated accountability, reliability, and collaborative spirit.
Why Join Us:
You'll be part of a dedicated team that values quality, accuracy, and proactive thinking. We offer a collaborative culture where your expertise is respected, and your contributions make a direct impact on the healthcare professionals we support.
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Equal Opportunity Employer
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