Credentialing Specialist
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Job Location:
Ilwaco, WA - USA
Hourly Salary:
USD 28 - 34
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
Credentialing Specialist Full Time
Ocean Beach Health
Build a career where your work truly matters.
Job Summary:
The Credentialing Specialist is responsible for coordinating verifying and maintaining provider credentialing and privileging records to ensure compliance with organizational regulatory and accreditation requirements. This role plays a critical part in supporting patient safety regulatory readiness and timely onboarding of providers by managing all aspects of the credentialing lifecycle with accuracy confidentiality and professionalism.
Why Youll Love Working Here
Family-feel culture with collaborative mentorship
Meaningful work that directly supports patient care
Opportunity to grow your skills in a healthcare environment
Live and work on the beautiful Long Beach Peninsula on the Washington Coast
Benefits That Support You
Medical dental and vision insurance
5 weeks of PTO in your first year
9 paid holidays
8 paid volunteer hours annually
Short-term disability coverage
Retirement plan with 5% employer match after one year
Employee Assistance Program (EAP)
And more
Education/Experience/Minimum Qualifications:
- High school diploma required; associate or bachelors degree preferred
- 2 years of experience in medical staff services credentialing or healthcare administration preferred
- Experience in hospital or multi-provider clinic setting strongly preferred
- Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) preferred or willingness to obtain
What youll do:
- Coordinate initial and recredentialing processes for all medical staff and allied health professionals
- Collect verify and evaluate provider credentials in accordance with hospital policy medical staff bylaws and regulatory standards
- Perform primary source verification for licensure education training board certification DEA registration and work history
- Prepare credentialing and privileging files for review by Medical Staff leadership Credentials Committee and Governing Board
- Maintain accurate complete and up-to-date credentialing files and databases
- Track expiration dates and proactively manage reappointments and renewals to prevent lapses
- Serve as a liaison between providers medical staff leadership HR compliance and department leadership
- Ensure compliance with CMS state and payer credentialing requirements
- Support onboarding of new providers by coordinating credentialing privileging and enrollment timelines
- Respond to internal and external audits surveys and credential requests
- Maintain strict confidentiality of all providers and organizational information
Knowledge Skills & Abilities
- Strong knowledge of credentialing and privileging processes and regulatory requirements
- Familiarity with CMS National Committee for Quality Assurance (NCQA) and state licensing standards
- Excellent attention to detail and organizational skills
- Ability to manage multiple providers and deadlines simultaneously
- Strong written and verbal communication skills
- High level of professionalism and discretion
- Proficient in Microsoft Office and credentialing databases/systems
- Completes all training on time.
- Contributes to a culture of Patient Centered Care.
- Contributes to a safe work environment.
- Demonstrates commitment to the team.
- Maintain practices of financial stewardship.
- Regular and punctual attendance required.
- Adheres to all company policies and procedures.
- Must be able to respond to emergencies.
- CPR certification required within probationary period.
- Supports Organizational Values
- Other duties may be assigned.
Interested
For more information please contact HR at .
All final candidates must successfully complete a background check and pre-employment drug screening including THC testing.
Ocean Beach Health is an Equal Employment Opportunity employer.
Required Experience:
IC
Key Skills
- Sales Experience
- Crane
- Customer Service
- Communication skills
- Heavy Equipment Operation
- Microsoft Word
- Case Management
- OSHA
- Team Management
- Catheterization
- Microsoft Outlook Calendar
- EHS
About Company
A BROAD RANGE OF SERVICES CLOSE TO HOME Ocean Beach Hospital & Medical Clinics provides access to both routine and critical health care services for the people who live, work and play in our community. Our purpose is to ease the pain and improve the health of the
