Credentialing Specialist

Job Title: Credentialing Specialist
Location: Morristown, NJ 07960
Duration: 3months W2 contract with high possibility of extension based on performance and depending on business needs.
Pay Range: $30 to $35/Hour on W2
Shift Timing: 8AM - 4PM EST

Description:
The Credentialing Specialist is responsible for coordinating and maintaining the credentialing, recredentialing, and privileging processes for healthcare providers within a hospital setting. This role ensures compliance with regulatory, accreditation, and organizational requirements by verifying licenses, certifications, education, work history, malpractice coverage, and other provider credentials. The Credentialing Specialist works closely with physicians, advanced practice providers, medical staff offices, and department leaders to ensure timely onboarding and ongoing credential compliance while maintaining accurate provider records and credentialing databases.

Essential Functions:
Enforce regulatory compliance and quality assurance Prepare and maintain reports of credentialing activities such as accreditation, membership or facility privileges Ensure that all information meets legal, federal and state guidelines when processing applications
Responsible for carrying out various credentialing processes in relation to physicians and allied health practitioners
Process applications for initials applicants as well as reappointments (approximately 125-200 quarterly) Collect and process significant amounts of verification and accreditation information
Maintain and update accurate information in the Echo database (includes education, training, experience, licensure) Prepare material for Credentials Committee meeting, MEC as well as Board of Trustees meeting Sets up and maintains provider information in Echo Maintains confidentiality of provider information Ensure compliance with the Bylaws at each location as it pertains to the credentialing process Schedule, and on occasion attend and take minutes for site based medical staff department meetings
Process and collect dues for the site based medical staff
Compiles and maintains current and accurate data for all providers
Sets up and maintains provider information in online credentialing database Tracks license and certification expirations for all providers
Maintains confidentiality of provider information All other duties as assigned

Key Qualifications:
Experience credentialing physicians and allied health professionals in a hospital or healthcare system environment.
Knowledge of Joint Commission, NCQA, CMS, and state licensing requirements.
Strong attention to detail, organizational skills, and ability to manage multiple deadlines.
Proficiency with credentialing software, provider databases.