Nicklaus Children's Health System

Credentialing Specialist

• Coordinate and manage credentialing and recredentialing processes for new and existing NCPS clinicians across internal and external affiliations
• Communicate with providers, hospitals, Medical Staff Offices, credentialing bodies, and other stakeholders
• Obtain, prepopulate, review, verify, submit, and track credentialing applications and supporting documentation
• Support provider onboarding through intake, document collection, milestone tracking, orientation readiness, and start-date preparedness
• Maintain accurate provider records, credentialing files, licenses, certifications, education, training, and professional references in electronic databases and other systems
• Monitor expiring credentials and privileges, notify providers, and follow up on timely renewals
• Process credentialing fees as applicable
• Resolve credentialing issues and discrepancies with providers and hospitals
• Complete credentialing tasks within timelines and proactively communicate progress and issues
• Provide regular updates to leadership and maintain high-quality, accurate outputs
• Develop and maintain relationships with providers, affiliate organizations, Medical Staff Offices, hospitals, and regulatory bodies
• Provide support, guidance, training, and answers to questions about credentialing and privileging
• Participate in quality improvement activities, analyze data, identify improvements, and implement process improvements
• Ensure NCPS providers are credentialed, recredentialed, and, where applicable, privileged at all locations where services are rendered
• Partner with practice leadership, operations, TM&E, Medical Staff Offices, and affiliate contacts to resolve onboarding and credentialing readiness issues
• Support MSO and telehealth credentialing readiness activities; payer enrollment functions are excluded unless specifically assigned

Credentialing Specialist – Full Time, Day Shift