Medical Staff Credentialing Specialist

Medical Staff Credentialing Specialist

Under limited supervision, the Medical Staff Credentialing Specialist serves as an essential link and resource between Practitioners, Senior Leaders, Departments, and hiring Stakeholders to coordinate the operational processes and ongoing credentialing, privileging and medical staff governance functions of the Medical Staff Office. Responsible for review, analysis and follow-up of credentialing and privileging applications, maintaining strict confidentiality and ensuring compliance with organizational policies and accrediting and regulatory agencies.

• Handles a range of specialized duties in the administration of credentialing and privileging requirements and processes, including, but not limited to, coordinates receipt of credentialing and privileging information; completing primary source verifications of credentialing information: coordinates credentialing pre-committee and end-of-committee processes to ensure notification to practitioners, departments and stakeholders.
• Researches and analyzes credentialing and privileging records to assess the suitability of the practitioner with meeting eligibility criteria and to ensure compliance with accreditation guidelines, state regulations and policies. Escalates concerns or issues identified.
• Acts as a resource and liaison by guiding practitioners and sponsoring departments/hiring stakeholders through credentialing and privileging processes and medical/clinical practice licensure requirements.
• Actively identifies credentialing issues/delays and proactively triage/resolves/communications with practitioners and sponsoring departments/hiring stakeholders to meet deadlines and anticipated start dates.
• Maintains database and credentialing files to ensure records are accurate and current.
• Facilitates ongoing monitoring, primary source verification processes and communications with practitioners/departments to ensure credentialing expirables are current, including, but not limited to, state and federal license to practice renewals, board certifications, certificate of malpractice insurance, lifesaving certifications, and regulatory and required practitioner education/trainings.
• Maintains strict confidentiality on all job-related matters.
• Performs other duties as assigned.

Licenses:

• Certified Professional Medical Services Management (CPMSM) preferred.
• Certified Credentialing Specialist preferred.

Education:

• High School Diploma or equivalent with 2 years' experience in credentialing, medical staff or related field. Bachelor's degree preferred.

About UAB St. Vincent's

UAB St. Vincent's, a proud part of UAB Medicine, is a trusted provider of health care, serving Alabama for more than 125 years. With five hospitals and numerous clinics, we're a health care community deeply rooted in compassion, service, and respect for all, guided by the rich legacy of the St. Vincent's name. We're committed to extending kindness and personalized care to patients, their families, and each other. We address the physical, psychological, social, and spiritual needs of our patients. We believe in the power of teamwork and unity, and foster a collaborative spirit among our more than 4,800 employees. As one of Alabama's best hospitals as recognized by U.S. News & World Report, improving the health and lives of those we serve is at the heart of our mission. Join us in continuing our legacy of service and healing in central Alabama, where we can make a lasting impact together.