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Credentialing Specialist
Ob Hospitalist GroupCredentialing Specialist managing all aspects of the credentialing and reappointment process for clinicians. Join OBHG, the nation’s largest dedicated provider of customized obstetric hospitalist programs.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in the credentialing process, including data management, documentation verification, and compliance with credentialing standards. Proficient in maintaining accurate records and facilitating communication with clinicians and internal teams.
Highest-signal resume keywords
Credentialing ExperienceAttention To DetailOrganizational SkillsCommunication SkillsCPCS Certification
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Credentialing StandardsData EntryDocumentation VerificationMedical TerminologyTime Management
Soft Skills
Strong CommunicationDetail-OrientedAbility To Manage Multiple Priorities
Tools & Technologies
Microsoft OfficeQGendaCRM SystemsSharePoint
Certifications & Qualifications
Certified Provider Credentialing Specialist
Industry Keywords
NCQAJCAHONPDBMedical Staff OfficeLicensing Requirements
About the role
Key responsibilities & impact- Process and prepare hospital medical staff privilege applications
- Examine, research, enter data, and gather required clinician documentation to support the credentialing process
- Complete credentialing and reappointment applications, monitor progress, and follow up to meet critical deadlines
- Obtain and verify documentation including medical education, residency, fellowship, NPDB, work history, and peer references
- Track hospital credentialing committee, Medical Executive Committee, and Board meeting dates to ensure timely approvals
- Maintain consistent communication with clinicians throughout each stage of the credentialing process
- Maintain and ensure accuracy of electronic clinician credentialing files
- Track medical licensure, DEA certification, malpractice coverage, and required renewals
- Enroll clinicians in NPDB Continuous Query
- Update internal databases (CRM, SharePoint, and other systems) to maintain current practitioner and facility data
- Coordinate hospital orientation scheduling and communicate hospital training requirements
- Participate in internal matrix and implementation calls to provide credentialing updates
- Collaborate with internal teams, including Payor Enrollment, to support documentation and compliance needs
Requirements
What you’ll need- Minimum of two (2) years of credentialing experience
- High School Diploma required; Associate’s degree preferred
- Strong organizational and time management skills with the ability to manage multiple priorities and meet deadlines
- Excellent written and verbal communication skills
- High attention to detail and ability to produce accurate, high-volume work
- Working knowledge of credentialing standards including NCQA, JCAHO, NPDB guidelines, and general licensing requirements
- Certified Provider Credentialing Specialist (CPCS) credential preferred
- Experience in a Medical Staff Office environment preferred
- Proficiency in Microsoft Office (Word, Excel, Access) preferred
- Experience with QGenda software preferred
- Understanding of medical terminology preferred
Benefits
Comp & perks- Paid time off & holidays so you can spend time with the people you love
- Medical, dental, and vision insurance for you and your loved ones
- Health Savings Account (with employer contribution) or Flexible Spending Account options
- Employer Paid Basic Life and AD&D Insurance
- Employer Paid Short- and Long-Term Disability w Optional Short Term Disability Buy-up plan
- Paid Parental Leave
- 401(k) Savings Plan with match
- Legal Plan & Identity Theft Services
- Mental health support and resources