Credentialing Specialist - Medical Staff Affairs - Days

Henry Ford Hospital
  • Jackson, MI
    30+ days ago

    Job Description

    Credentialing Specialist - Medical Staff Affairs - Days

    Location: Henry Ford Health Jackson

    Department: Medical Staff Affairs

    Schedule: Full Time Days

    About the Role

    We are seeking a highly organized and knowledgeable Medical Staff Coordinator to oversee the operations of the Medical Staff Affairs office. This role plays a critical part in supporting credentialing and recredentialing processes in collaboration with the Central Verification Organization (CVO), managing medical staff meetings, and ensuring compliance with regulatory and accreditation standards. The coordinator serves as a key resource for medical staff, hospital administration, and legal counsel, maintaining confidentiality and promoting consistent, high-quality support across all medical staff functions.

    Key Responsibilities

    Coordinate and oversee the Medical Staff Affairs office operations.

    Collaborate with the CVO on credentialing and recredentialing processes.

    Manage medical staff meetings and ensure accurate flow of information from committees to the Medical Executive Committee and Board of Trustees.

    Respond to verification requests and maintain accurate records.

    Serve as a resource for medical staff regarding bylaws, policies, and regulatory standards.

    Ensure compliance with accrediting bodies such as Joint Commission, NCQA, URAC, and HFAP.

    Maintain working knowledge of relevant statutes and laws.

    Coordinate annual medical staff projects and perform related bookkeeping activities.

    Communicate regularly with physician quality teams, medical staff leaders, hospital administration, and legal counsel.

    Maintain confidentiality of all medical staff and business-related information.

    Support departmental performance and teamwork.

    Qualifications

    Strong understanding of medical staff credentialing and regulatory requirements.

    Experience with accreditation standards (e.g., Joint Commission, NCQA, URAC, HFAP).

    Excellent organizational, communication, and interpersonal skills.

    Ability to manage multiple priorities and maintain confidentiality.

    Proficiency in interpreting and applying medical staff bylaws, rules, and policies.

    Prior experience in a healthcare or hospital setting preferred.

    Why Join Us?

    Be part of a mission-driven organization focused on excellence in patient care and provider support.

    Work in a collaborative environment with opportunities for professional growth.

    Play a vital role in ensuring quality and compliance across medical staff operations.

    PRINCIPAL DUTIES AND RESPONSIBILITIES:

    • Interprets, explains and follows all regulatory guidelines, including medical staff bylaws, rules and regulations and policies.
    • Credentialing initial and reappointment applications to meet regulatory and department standards and deadlines.

    EDUCATION/EXPERIENCE REQUIRED: High School Diploma required. Associate's Degree, preferred. One (1) year of credentialing, provider enrollment, or background/verification specialist experience required. High level of energy to work in a fast paced environment often including time deadlines, frequent interruptions, multiple demands and multi-tasking. Working knowledge of State and Federal law relating to due process and provisions of the Health Insurance Portability and Accountability Act of 1996 and all applicable standards.

    Additional Information

    • Organization: Henry Ford Jackson Hospital
    • Department: Medical Staff Credentialing Se
    • Shift: Day Job
    • Union Code: Not Applicable

    Numbers & Facts

    LocationJackson, MI

    Skills

    • Accreditation Standardsunmatched
    • Bookkeepingunmatched
    • Communication Skillsunmatched
    • Data Qualityunmatched
    • Federal Laws and Regulationsunmatched
    • HIPAA (Health Insurance Portability and Accountability Act)unmatched
    • Healthcareunmatched
    • Healthcare Qualityunmatched
    • Hospitalunmatched
    • Hospital Administrationunmatched
    • Interpersonal Skillsunmatched
    • Legalunmatched
    • Maintain Complianceunmatched
    • Medical Officeunmatched
    • Medical Office Administrationunmatched
    • Multitaskingunmatched
    • National Committee for Quality Assurance (NCQA)unmatched
    • Organizational Skillsunmatched
    • Patient Careunmatched
    • Patient Confidentialityunmatched
    • People Managementunmatched
    • Provider Credentialingunmatched
    • Record Keepingunmatched
    • Regulationsunmatched
    • Regulatory Complianceunmatched
    • Regulatory Requirementsunmatched
    • Standards of Careunmatched
    • State Laws and Regulationsunmatched
    • Team Playerunmatched
    • Utilization Review Accreditation Commission (URAC)unmatched

    Be found by employers

    5,500+ employers search our resume database daily. Add yours to get found by recruiters looking for candidates like you.

    Level up your application

    Professional resume templates

    Browse dozens of recruiter approved resume templates, layouts and formats. Choose your favorite and make it your own in minutes.

    Free resume templates

    Free resume builder

    Improve your existing resume or start from scratch and create a standout, ATS-friendly resume. Add job-specific content, download and apply.

    Free resume builder