Job Description
Job Overview:
A well-established and respected healthcare institution in Summit, NJ is seeking a Credentialing Specialist to support the medical staff services team. The ideal candidate will be detail-oriented, organized, and experienced in provider credentialing processes. This position is essential in ensuring ongoing compliance with regulatory and accreditation requirements related to credentialing and re-credentialing of medical staff.
Key Responsibilities:
- Oversee and ensure compliance with credentialing regulations and quality assurance standards.
- Process and maintain documentation for initial credentialing and reappointments (125–200 providers quarterly).
- Collect, verify, and process provider information including education, training, licensure, and experience.
- Maintain and update accurate provider records in the credentialing database (Echo).
- Prepare reports and credentialing packets for review by the Credentials Committee, Medical Executive Committee, and Board of Trustees.
- Track and manage license and certification expirations.
- Schedule, attend, and take minutes at department-level medical staff meetings as needed.
- Process and manage medical staff dues.
- Ensure confidentiality of all provider and credentialing data.
- Support additional duties and special projects as assigned.
Qualifications:
- Proven knowledge and experience with the healthcare credentialing process required.
- Strong organizational and time management skills with the ability to handle multiple priorities.
- Excellent written and verbal communication skills.
- Strong research and analytical abilities.
- Ability to work independently and collaboratively in a team environment.
- Proficiency in credentialing software (Echo preferred) and Microsoft Office Suite.
- High attention to detail and data accuracy.
About the Location:
This role is based in a top-ranked, multidisciplinary healthcare facility located in the heart of Summit, NJ. The institution is known for its commitment to clinical excellence, patient-centered care, and professional development. Easily accessible and situated in a vibrant community, it offers a dynamic environment for healthcare professionals to grow and contribute meaningfully.
Pride Health offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.
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