Accreditation Standards, Biology, Communication Skills, Content Management Systems (CMS), Continuous Improvement, Detail Oriented, Fortune 500 Customers, HRIS/HRMS, Healthcare, Healthcare Providers, Leadership, Legal, Maintain Compliance, Medical Office, Microsoft Office, National Committee for Quality Assurance (NCQA), Nonprofit, Onboarding, Organizational Skills, Physician Credential, Process Development, Process Improvement, Provider Credentialing, Regulations, Regulatory Reports, Team Player, Time Management
We're hiring! Beacon Hill has partnered with a growing non-profit organization in hiring a Credentialing Specialist to start immediately. Be a part of a mission driven organization that is experiencing growth within their healthcare practice.
Responsibilities:
- Manage end‑to‑end provider credentialing and recredentialing processes for physicians and allied health professionals
- Prepare, submit, and track credentialing applications for hospitals, medical groups, and payer enrollment
- Verify provider credentials including licensure, education, training, board certification, work history, and malpractice coverage
- Ensure compliance with NCQA, Joint Commission, CMS, state, and payer credentialing requirements
- Maintain accurate and up‑to‑date provider files and records in credentialing and HR systems
- Monitor credential expiration dates and proactively manage renewals to prevent lapses
- Serve as a liaison between providers, medical staff offices, payers, and internal departments
- Respond to credentialing inquiries from internal stakeholders and external entities
- Assist with audits, accreditation reviews, and regulatory reporting related to credentialing
- Maintain strict confidentiality of provider and organizational information
- Identify process improvements to enhance efficiency and compliance within credentialing operations
- Support onboarding and privileging processes for new providers
Requirements
- Previous experience as a Credentialing Specialist or in a credentialing role within a healthcare organization
- Working knowledge of provider credentialing standards, including NCQA, Joint Commission, and CMS guidelines
- Experience credentialing physicians and advanced practice providers
- Familiarity with payer enrollment processes
- Proficiency with credentialing databases, provider enrollment systems, and Microsoft Office
- Strong attention to detail and organizational skills
- Ability to manage multiple providers and deadlines simultaneously
- Excellent communication skills with the ability to work collaboratively with providers and leadership
- Ability to handle sensitive and confidential information with discretion
Beacon Hill is an equal opportunity employer and individuals with disabilities and/or protected veterans are encouraged to apply.
California residents: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
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or copy and paste the following link into an open window in your browser: https://jobs.beaconhillstaffing.com/eeoc/
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Company Profile:
Founded by industry leaders to set a new standard in search, career placement and flexible staffing, we deliver coordinated staffing solutions with unparalleled service, a commitment to project completion and success and a passion for innovation, creativity and continuous improvement.
Our niche brands offer a complete suite of staffing services to emerging growth companies and the Fortune 500 across market sectors, career specialties/disciplines and industries. Over time, office locations, specialty practice areas and service offerings will be added to address ever changing constituent needs.
Learn more about Beacon Hill and our specialty divisions, Beacon Hill Associates, Beacon Hill Financial, Beacon Hill HR, Beacon Hill Legal, Beacon Hill Life Sciences and Beacon Hill Technologies by visiting . Benefits Information:
Beacon Hill offers a robust benefit package including, but not limited to, medical, dental, vision, and federal and state leave programs as required by applicable agency regulations to those that meet eligibility. Upon successfully being hired, details will be provided related to our benefit offerings.
We look forward to working with you.
Beacon Hill. Employing the Future (TM)