Human Resource Generalist/Credentialing Specialist

Job Description

Job Description

Position Summary

The Human Resources Specialist | Credentialing and Privileging Specialist is responsible for supporting human resources operations and coordinating all aspects of provider credentialing and privileging. This role requires strong attention to detail, discretion, and a comprehensive understanding of HR practices, healthcare credentialing requirements, and regulatory compliance. The Specialist supports a culture of professionalism, confidentiality, and high-quality service to both internal and external stakeholders.

Responsibilities and Duties

• Complete human resources projects and assignments as delegated by the HR Director.
• Maintain accurate and confidential personnel records in compliance with state and federal laws.
• Conduct internal audits of HR files according to the established audit schedule.
• Participate in Continuous Quality Improvement (CQI) activities and internal committees.
• Ensure strict confidentiality of employees and patient information in accordance with HIPAA and organizational policies.
• Maintain current documentation of provider licenses, DEA and NPI numbers; distribute updates to applicable sites.
• Complete and submit credentialing applications to credential verification organizations (e.g., PHN).
• Obtain and store active licensure and certification records for all providers and clinical staff.
• Prepare and submit provider enrollment applications to payor enrollment team for Medicare, Medicaid, and commercial payers.
• Coordinate and monitor re-credentialing processes for existing providers and clinical staff.
• Attend relevant training workshops to maintain credential knowledge.
• Coordinate licensure requirements and renewals for all licensed staff.
• Oversee internal credentialing processes, including physical exams, TB screenings (PPDs), and privileging paperwork.
• Gather, verify, and maintain documentation required for provider privileging, including licensure, background checks, and health clearances.
• Prepare temporary privileges for approval by the Chief Medical Officer (CMO) and Chief Executive Officer (CEO).
• Submit full credentialing and privileging packets to the Chief Medical Officer (CMO) and Chief Executive Officer (CEO) for approval.

Qualifications

Knowledge, Skills & Abilities

• Working knowledge of credentialing processes, provider enrollment, and privileging standards.
• Demonstrated understanding of federal, state, and local laws applicable to HR and healthcare operations (e.g., FLSA, HIPAA, EEOC, CMS).
• Experience working in or with a healthcare facility, including familiarity with provider licensing and payer enrollment requirements.
• Excellent organizational, communication, and problem-solving skills.
• Ability to handle sensitive and confidential information with discretion and professionalism.
• Strong interpersonal skills and the ability to work effectively with individuals of diverse backgrounds.
• Proficiency in Microsoft Office Suite and HRIS systems; experience with credentialing software is a plus

Education

• Bachelor’s degree in business, Human Resources, or related discipline preferred.

Experience

• A minimum of five (3) years of administrative or human resources experience is required.
• Proficiency in Microsoft Excel , including basic formulas
• Experience running HR reports and analyzing data for accuracy and compliance
• Ability to audit system data to ensure integrity, consistency, and compliance with policies and regulations

Physical Demands

• Must be able to perform all essential job duties with or without reasonable accommodation.
• Ability to move intermittently throughout the workday.
• Ability to sit or stand for prolonged periods.
• Occasional stooping, bending, and lifting of files or supplies up to 30 pounds.
• Manual dexterity is sufficient for computer use and paperwork.
• Normal hearing and vision (with or without assistive devices).
• Flexibility and adaptability in a busy office environment.

Working Environment

• Work is performed primarily in an office setting within a healthcare organization.
• Daily interaction with staff, requiring professionalism, discretion, and judgment.
• Some interruptions and multitasking are required in a fast-paced environment.
• Subject to organizational changes in work location, hours, or duties as necessary.

About the Company

Medical Associates Plus (MAP) is a community-based healthcare organization with deep roots in Augusta and the surrounding region. Our story began in 1993 when University Hospital, the Richmond County Health Department, and the Richmond County Commission partnered to address gaps in care for underserved populations. Following a community needs assessment that identified significant health disparities in the 30906-zip code, the Neighborhood Improvement Project, Inc. was established in 1998 to expand access to essential healthcare services.

Originally operating as Belle Terrace Health & Wellness Centers, MAP welcomed its first patient in 1999. Since then, the organization has grown significantly. Renamed Medical Associates Plus in 2016, MAP expanded to include multiple clinic locations and a mobile health unit.Today, MAP serves more than 50,000 patients annually across over twenty locations, delivering high-quality primary care to individuals and families throughout Greater Augusta and surrounding communities.

Benefits

• Medical, Dental, and Vision coverage
• Paid Time Off (PTO) accrued biweekly
• Paid company holidays
• Retirement plan options
• Employee wellness programs, including discounted YMCA membership
• Professional development and continuing education support

** Eligibility and coverage may vary based on position and hours worked.

Disclaimer:

The above is intended to describe the job functions, the general supplemental functions and the essential requirements for the performance of this job. It is not to be construed as an exhaustive statement of supplemental duties, responsibilities, or non-essential requirements.

Medical Associates Plus is an Equal Opportunity Employer and does not discriminate against any employee or applicant because of race, color, sex, age, national origin, religion, sexual orientation, gender identity and/or expression, veteran status, basis of disability or any other federal, state or local protected class.