Medical Staff Credentialing Specialist

Provider Credentialing Specialist

Bring your skills to our medical credentialing team! Our mission is quality, compassionate care for all. Our vision is to reimagine health care through connection, service, and innovation. Our core values are to be kind, trust and be trusted, work together, and strive for excellence.

Are you a detail-oriented, experienced healthcare professional looking to make a difference behind the scenes? Logan Health is seeking a dedicated full-time provider credentialing specialist to join our team and support exceptional care across our organization.

Why join Logan Health? At Logan Health, we are committed to excellence in patient care, a culture of teamwork, and supporting our staff to grow professionally. We offer a dynamic and supportive work environment where your skills and dedication are truly valued.

What you'll do:

• Assist with the on-boarding process for medical providers and coordinate credentialing and privileging for allied health providers (AHPs)
• Process provider credentialing applications in accordance with accreditation standards, regulatory requirements, and Logan Health policies and procedures
• Perform primary source verification for medical school, residency, fellowship, NPDB, DSHS, FSMB, and other applicable sources
• Research, examine, enter data, and gather all necessary information to support the credentialing process
• Initiate and support the provider application process by sending, receiving, and analyzing practitioner documents; perform data imports to determine completeness
• Gather, verify, and evaluate highly confidential and sensitive healthcare practitioner credentials consistent with departmental guidelines and accreditation standards
• Monitor expiring licensure, board and professional certifications, and other documents pending expiration within prescribed timeframes
• Respond to practitioner, client health plan, and internal inquiries in a timely and professional manner
• Record minutes at assigned meetings, develop agendas, and maintain records
• Keep leadership informed of potential credentialing issues and perform administrative tasks as applicable

What you'll bring:

• Minimum of one of the following required:
• Minimum of one year experience in provider credentialing.
• Minimum of two years' experience in a medical setting.
• Minimum of two years' experience comprised of detailed data verification, document management, and handling of confidential records in accordance with regulatory standards.
• Associate's degree in Business Administration or other related field preferred.
• Minimum of one of the certifications below must be successfully obtained within three years of hire:
• Certified Provider Credentialing Specialist (CPCS) Certification
• Certified Professional Medical Staff Management (CPMSM)
• Excellent organizational skills; detail-oriented, self-starter with strong critical thinking and prioritization abilities
• Strong verbal and written communication skills with the ability to effectively communicate with various audiences
• Excellent interpersonal skills with the ability to manage sensitive and confidential situations with tact, professionalism, and diplomacy
• Proficient in Microsoft Office Suite with the ability to learn additional software as needed
• Commitment to integrity, kindness, empathy, confidentiality, and high-quality outcomes
• Ability to work both independently and as part of a collaborative team

What we offer:

• A supportive team and inclusive work culture
• Competitive salary and comprehensive benefits package
• Medical, dental, and vision health insurance
• 401(k) retirement plan with employer contribution
• Generous PTO (Paid Time Off) accrual
• Discounted gym membership
• Opportunities for continued learning and professional development

Join us

Help us deliver exceptional healthcare by ensuring our providers are credentialed and ready to serve. If you're passionate about quality, compliance, and making a behind-the-scenes impact at a mission-driven organization, we'd love to hear from you.

Shift: Day Shift - 8 Hours (United States of America)

Schedule: Full-time, 40 hours per week, day shift

Logan Health operates 24 hours per day, seven days per week. Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed.

Notice of Pre-Employment Screening Requirements

If you receive a job offer, please note all offers are contingent upon passing a pre-employment screening, which includes:

• Criminal background check
• Reference checks
• Drug screening
• Health and immunizations screening
• Physical demand review/screening

Equal Opportunity Employer

Logan Health is an Equal Opportunity Employer (EOE/AA/M-F/Vet/Disability). We encourage all qualified individuals to apply for employment. We do not discriminate against any applicant or employee based on protected veteran status, race, color, gender, sexual orientation, religion, national origin, age, disability or any other basis protected by applicable law. If you require accommodation to complete the application, testing or interview process, please notify Human Resources.