Medical Staff Credentialing Specialist Full-time with Benefits

Job Summary

Responsible for medical staff office functions working closely with Medical Staff Credentialing Coordinators. Supports and incorporates the Frederick Health (FH) mission vision core values and customer service philosophy into daily work. Adheres to the FH Compliance Program regulatory requirements and FH Standards of Behavior.

Essential Functions

Medical Staff & Provider Management

• Oversee onboarding for medical students and medical staff job shadowing.
• Research monitor and update non-staff provider licensure and OIG status.
• Collaborate with other departments to verify non-staff providers compliance with OIG and active medical licenses for ordering outpatient tests.
• Work with IT to update provider dictionary (license expiration dates office address changes).
• Ensure accurate medical staff information is available to departments committees and the public.
• Maintain working knowledge of Medical Staff Bylaws and policies to ensure compliance.

Meeting & Communication Support

• Attend medical staff and other meetings as needed.
• Prepare agendas materials and minutes for meetings.
• Assist with communication regarding provider deficiencies and suspensions.
• Support provider orientation and ID verification.

Compliance & Monitoring

• Monitor medical staff vaccine and mandatory CBL (computer-based learning) compliance.
• Assist with reconciling invoices statements and check requests.

Required Knowledge Skills and Abilities

• Strong interpersonal communication skills including adult learning methods and problem-solving.
• Basic knowledge of medical terminology.
• Ability to work independently prioritize projects and meet deadlines.
• Excellent organizational skills; able to manage multiple tasks and work professionally with a diverse population.
• High level of confidentiality.
• Proficient in creating composing and editing written materials.

Software & Workflow Management

• Process reappointments after Board Quality review.
• Initiate CredentialStream Onboard workflows for new providers.
• Assign CBLs in NetLearning.
• Initiate IPPE reviews (90 days post-orientation for physicians; 30 & 60 days for APPs).
• Initiate DrFirst e-prescribing requests.
• Upload records into CredentialStream.
• Discontinue user access upon resignation or suspension.
• Reassign supervising physicians for Physician Assistants as needed.
• Refine and troubleshoot CredentialStream reports.

Communication Responsibilities

• Email deficiency notifications to physicians and APPs.
• Initiate administrative suspension procedures.
• Communicate restoration of administrative rights after suspension is lifted.
• Prepare CDC quarterly Covid report.

Minimum Qualifications

Education & Experience

• At least two years of experience in credentialing or a medical staff services setting required.
• High School Diploma required.
• Advanced proficiency in MS Word Excel and Outlook.
• Experience with Meditech Expanse preferred.

Skills & Abilities

• Advanced proficiency in MS Office (Word Excel PowerPoint Outlook)
• Knowledge of credentialing software (preferably CredentialStream)
• Strong interpersonal communication and problem-solving skills
• Ability to work independently and meet deadlines
• Excellent organizational skills to manage multiple tasks
• Data interpretation and report creation skills
• High level of confidentiality
• Medical terminology knowledge

Caring for you as you care for the CommUNITY
Frederick Health offers a comprehensive and affordable benefits package. Health Dental and Vision insurance are offered the 1st of the month after 30 days of employment to all employees hired to work at least 20 hours per week and we offer multiple plans to best meet your and your familys needs. Life insurance Short-Term Income Replacement and Long-Term Disability are employer paid for eligible employees. Frederick Health offers a robust Paid Time Off program for eligible employees. Our 403B retirement plan helps you save for your retirement and includes an employer match to eligible employees. All employees have access to free financial planning sessions. We also offer an educational assistance program to support your education goals as well as an employer paid Employee Assistance Program.

Pay is based on experience skills and education. If position is part-time salary will be pro-rated based on scheduled hours. The pay range may also vary within the stated range based on specialty if applicable. Non-Exempt positions may have shift differential and/or Overtime paid if applicable.

Hourly pay range: $21.61 - $31.28

Required Experience:

Staff IC