Medical Credentialing Specialist
Job
Robert Half
Santa Monica, CA (In Person)
Full-Time
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Job Description
A National Hospital System in in Los Angeles is in the immediate need of a Medical Credentialing Specialist to support credentialing and privileging activities for physician staff. This Medical Credentialing Specialist plays an important role in maintaining accurate provider records, supporting compliance efforts, and coordinating documentation for appointment and reappointment workflows. The Medical Credentialing Specialist must bring prior experience in a hospital or healthcare environment, strong working knowledge of MD Staff, and the ability to manage sensitive information with accuracy and care. MD Staff Software is a MUST.
Key Responsibilities:
- Oversee the end-to-end credentialing cycle for physicians, including new appointments, renewals, and ongoing status maintenance.
- Review and validate provider documentation such as licenses, education, certifications, employment history, and references.
- Administer privilege requests and updates by tracking clinical privileges and ensuring alignment with governing bylaws and organizational standards.
- Maintain complete and current practitioner files within the MD Staff platform, ensuring data accuracy and documentation readiness.
- Track expiring credentials and follow up proactively to obtain renewed licenses, certifications, and other required materials before deadlines.
- Assemble credentialing packets and prepare supporting materials for review by committees, leadership groups, and governing bodies.
- Help uphold adherence to accreditation and regulatory expectations, including Joint Commission standards and internal medical staff requirements.
- Serve as a point of contact for physicians, department leaders, and stakeholders regarding application progress, missing items, and approval status.
- Contribute to audits, survey preparation, policy revisions, and process improvement initiatives related to medical staff services.
Benefits:
Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.Similar jobs in Santa Monica, CA
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