Provider Credentialing Specialist

1 week ago


Morgantown, West Virginia, United States WVU Medicine Full time

Position Overview:
We are pleased to present an opportunity for a Provider Credentialing Specialist. This role is essential in ensuring that all necessary provider credentials, licenses, degrees, privileges, and certifications are accurately managed upon the onboarding of new providers.

Key Responsibilities:
The Specialist will oversee the centralized credentialing process, which involves collaborating with new providers, gathering required documentation, and coordinating submissions for all relevant credentials. This position requires effective partnership with department leadership and various stakeholders throughout the organization.

Minimum Qualifications:

  • Associate's Degree or equivalent experience.
  • High School Diploma or Equivalent with at least 2 years of experience in healthcare or administrative roles.

Preferred Qualifications:

  • At least one year of experience in credentialing or privileging.
  • Experience in a healthcare environment.

Core Duties:
The responsibilities include but are not limited to:

  • Facilitating the credentialing process for incoming providers, including applying for state licensure and coordinating with external facilities.
  • Managing APP-specific support, including scheduling and documentation.
  • Tracking state licenses and certifications to ensure compliance.
  • Coordinating provider evaluations and maintaining accurate records.
  • Monitoring changes in state board regulations and maintaining up-to-date knowledge of accreditation standards.
  • Implementing and maintaining credentialing software and databases.

Physical Requirements:
The role requires prolonged periods of sitting, the ability to lift 15-20 lbs, and extended use of computers and telephones.

Working Environment:
This position is primarily in a standard office environment and may require occasional travel.

Skills and Abilities:
Successful candidates will possess:

  • Basic computer skills and proficiency in standard office software.
  • Strong oral and written communication abilities.
  • Excellent organizational skills and the ability to maintain confidentiality.
  • Typing skills of at least 35 words per minute.

Company Overview:
WVU Medicine is committed to diversity and inclusion in our workforce. We welcome applications from all qualified individuals, regardless of background.



  • Morgantown, West Virginia, United States WVU Medicine Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Provider Credentialing Specialist to join our team at WVU Medicine. This role will be responsible for coordinating the credentialing process for all incoming doctors and Advanced Practice Providers (APPs), ensuring compliance with regulatory requirements and maintaining accurate records.Key...


  • Morgantown, West Virginia, United States WVU Medicine Full time

    Position Overview:We are seeking a dedicated individual for the role of Credentialing Coordinator. This position entails overseeing the management of all necessary provider credentials, licenses, degrees, privileges, and certifications as new healthcare providers integrate into our organization. You will collaborate with various departments to facilitate a...


  • Morgantown, West Virginia, United States WVU Medicine Full time

    Position Overview:We are pleased to present an opportunity for the role of Credentialing Coordinator for Healthcare Providers. In this capacity, you will oversee the management of all essential provider credentials, licenses, qualifications, privileges, and certifications as new providers are integrated into our organization. Your collaboration with various...


  • Morgantown, West Virginia, United States WVU Medicine Full time

    Position Overview:We are seeking a dedicated individual for the role of Credentialing Coordinator. This position entails overseeing the management of all necessary provider credentials, licenses, degrees, privileges, and certifications during the onboarding of new healthcare professionals. You will collaborate with multiple departments to facilitate a...


  • Morgantown, West Virginia, United States Mon Health Full time

    Job Summary:The Managed Care/Payer Enrollment Specialist will play a critical role in supporting the operational activities of Payer Enrollment at Mon Health. This position will be responsible for managing accounting and information systems in support of Managed Care/Payer Enrollment, as well as developing strategies to improve reimbursement levels under...


  • Morgantown, West Virginia, United States AMN Healthcare Full time

    Job OverviewPosition: Specialist in Anesthesia ServicesCompensation: Competitive hourly rate of $325.00Job ResponsibilitiesWe are seeking a dedicated Specialist in Anesthesia Services to provide essential locum tenens support. This role is crucial in ensuring the delivery of high-quality anesthesia care across various medical disciplines.Key DetailsSchedule:...


  • Morgantown, West Virginia, United States LanceSoft Full time

    LanceSoft is in search of a travel CVOR Specialist for an exciting opportunity in the healthcare sector.Position Overview & RequirementsSpecialty: CVOR SpecialistDiscipline: Allied Health ProfessionalDuration: 13 weeks40 hours per weekShift: 8 hours, daytimeEmployment Type: TravelWe are actively looking for skilled professionals in Surgical Services.Position...


  • Morgantown, West Virginia, United States Curative Full time

    Position OverviewThe Curative organization is seeking a dedicated and academically focused Cardio-Obstetrics physician to enhance our medical faculty. This role offers the opportunity to collaborate with a distinguished group of healthcare professionals, including surgeons, non-invasive cardiologists, medical cardiologists, radiologists, and vascular...


  • Morgantown, West Virginia, United States Permanent Placement Resources, LLC Full time

    Exciting Opportunity in Medical OncologyPosition Overview:The specialist will deliver comprehensive medical oncology services in both outpatient and inpatient environments. This role involves adhering to evidence-based protocols established within the Oncology Service line. The physician will work collaboratively with the clinical team to develop and...


  • Morgantown, West Virginia, United States West Virginia University Hospitals, Inc. Full time

    WelcomeWe appreciate your interest in joining our team at West Virginia University Hospitals, Inc. Below, you will find essential information regarding the position.JOB OVERVIEW:As a Clinical Respiratory Specialist, you will be responsible for:Assessing and providing care for patients requiring respiratory therapy.Delivering prescribed respiratory treatment...


  • Morgantown, West Virginia, United States WVU Medicine Full time

    Position Overview:We are seeking a dedicated professional to take on the role of Enterprise Compliance Auditor/Educator. This position plays a crucial part in the ongoing efforts to implement and facilitate compliance auditing, monitoring, and education for all provider services.Key Responsibilities:The Enterprise Compliance Auditor/Educator will be...

  • Travel Nurse RN

    3 days ago


    Morgantown, West Virginia, United States TravelNurseSource Full time

    About the PositionWe are seeking a qualified Medical-Surgical Registered Nurse for a 13-week contract position in West Virginia. The ideal candidate will have at least 2 years of recent experience in Medical-Surgery and be able to work 36 hours per week on a 12-hour overnight shift.Key ResponsibilitiesProvide high-quality patient care in a Medical-Surgical...


  • Morgantown, West Virginia, United States Mon Health Full time

    Job Summary:The Managed Care/Payer Enrollment Specialist will play a critical role in supporting the operational activities of Payer Enrollment at Mon Health. This position will be responsible for managing accounting and information systems in support of Managed Care/Payer Enrollment, as well as developing strategies to improve reimbursement levels under...


  • Morgantown, West Virginia, United States WVU Medicine Full time

    Position Title:Advanced Practice Professionals – Pediatrics, Cardiac Intensive Care Unit (CICU)Role Overview:The Advanced Practice Professional (APP) in Pediatrics - CICU plays a vital role in delivering thorough patient assessments, formulating care strategies, and ensuring educational requirements are met. This position involves executing diagnostic...


  • Morgantown, West Virginia, United States Allied Health Solutions Full time

    About the RoleWe are seeking a highly organized and detail-oriented Patient Intake Specialist to join our team at Allied Health Solutions. As a Patient Intake Specialist, you will play a critical role in ensuring the smooth registration process for our patients.Key ResponsibilitiesReceive and accurately process patient demographics from referral sources,...


  • Morgantown, West Virginia, United States U.S. Army Full time

    Provide Essential Patient Care as an Army Practical Nursing Specialist As an Army Practical Nursing Specialist, you'll play a vital role in delivering high-quality healthcare to service members and their families. Under the guidance of physicians, nurses, or non-commissioned officers (NCOs), you'll perform a wide range of nursing procedures, ensuring the...


  • Morgantown, West Virginia, United States Med Career Center, Inc Full time

    Position Title: Gastroenterology SpecialistA well-established gastroenterology practice in a thriving region is looking for a committed Gastroenterology Specialist to become part of their team. You will collaborate with a dedicated group of healthcare professionals in a facility linked to a major hospital, delivering high-quality care to patients.Key...


  • Morgantown, West Virginia, United States TotalMed Allied Full time

    TotalMed Allied is in search of a traveling Echo Imaging Specialist for an assignment.Position Overview & RequirementsSpecialty: Echo Imaging SpecialistDiscipline: Allied Health ProfessionalDuration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelWe are looking for a skilled Echo Imaging Specialist for a travel position.The compensation...


  • Morgantown, West Virginia, United States Morgantown Healthcare Center Full time

    Morgantown Healthcare Center is seeking dedicated Nutritional Support Specialists to become integral members of our team. We provide a comprehensive benefits package that includes competitive compensation, health insurance options, retirement plans with employer contributions, and flexible spending accounts. As a Nutritional Support Specialist, your primary...


  • Morgantown, West Virginia, United States SAS Retail Services Full time

    Become a Key Player as a Retail Visual Merchandising Specialist Are you meticulous and thrive on solving challenges? We are looking for a Retail Visual Merchandising Specialist to join our team in the retail sector, dedicated to enhancing product presentations and ensuring that inventory aligns with store layouts. This position provides competitive...