[Hiring] Credentialing Specialist @Adena Health

Role Description

A Credentialing Specialist makes sure healthcare providers meet the necessary qualifications to provide care. The primary responsibility is to verify and assess the credentials of providers to ensure compliance with industry standards and regulatory requirements. This includes:

• Reviewing applications and verifying qualifications such as education, licensure status, certifications, or other credentials.
• Contacting institutions, licensing boards, and previous employers to validate the information provided is accurate and up-to-date.
• Conducting thorough background checks to identify any potential risks or red flags that may impact patient safety.
• Reviewing privileges requested by healthcare providers and comparing them to education and training, contrasted with relevant experience.
• Monitoring expiration dates of licenses and certifications to ensure compliance with certification and accreditation requirements.
• Serving as a point of contact for credentialing-related inquiries and assisting in the preparation of necessary reports.
• Updating and maintaining credentialing databases, scheduling and attending meetings, data entry/integrity, record management, and performing other administrative tasks as assigned.

This individual plays a key role in maintaining the integrity of healthcare delivery and protecting patient well-being. Following an orientation period, employees may have an opportunity for a remote/work from home schedule, subject to supervisor approval.

Qualifications

• Bachelor's degree in a health-related field or equivalent experience.
• Must possess a valid National Association Medical Staff Services (NAMSS) Certification as a Certified Professional Medical Services Manager (CPMSM) or Certified Provider Credentials Specialist (CPCS) within two years from the date of hire.
• Experience in medical credentialing, health care administration, or related field.

Requirements

• Reliable compensation.
• Strong healthcare coverage options.
• 3.5% retirement match with automatic annual increase.
• PTO that grows with tenure.
• Visible leadership impact within a regional health system.

Benefits

• Community-centered decision making.
• Leadership visibility and cross-functional collaboration.
• Competitive compensation and benefits.
• Growth-focused culture.
• Opportunity to influence real healthcare outcomes.
• Emerging leader and leadership development programs.
• Tuition assistance and education support.
• Skill-building and lateral career opportunities.
• Visibility with leaders who recognize potential early.