Medical Staff Credentialing Specialist- PT
6 hours ago
Position Summary
At Wilson Health, we believe exceptional patient care depends on a strong foundation of quality, safety, and compliance. As our Medical Staff Credentialing Specialist, you will play a critical role in ensuring every provider who cares for our patients is properly credentialed, enrolled, and ready to deliver high-quality care.
In this role, you'll work closely with clinical leadership, medical staff, and operational teams to manage key aspects of provider credentialing, privileging, and onboarding. You'll support the accuracy, integrity, and timeliness of provider files, ensuring our physicians and advanced practice providers can practice without interruption and that Wilson Health remains compliant with accreditation and regulatory requirements. Through your work, you will strengthen operational efficiency, enhance the provider onboarding experience, and help uphold the high standards our community expects from Wilson Health.
Key Perks and Benefits
• Access to Employer Direct Care Clinic-free medical care and pharmacy services for eligible employees and covered dependents.
• Free onsite employee fitness center.
• Generous paid time off program beginning day one.
• Medical, Dental, and Vision Insurance-multiple plan options.
• Health Savings Account (HSA) with employer contribution and Flexible Spending Accounts (FSA) for medical and dependent care.
• Company-paid Life Insurance, Short and Long-Term Disability.
• Voluntary Accident, Critical Illness, and supplemental Life/AD&D coverage.
• Industry-leading retirement plan with employer contributions beginning day one.
• Tuition Assistance Program.
• Discounted Child Care Program.
Employment Status: Part Time, Hybrid Remote
Working Hours: 20 hours/week
Shift: 1st Shift
Reports To: Chief Medical Officer
Key Responsibilities
Medical Staff Credentialing
• Manage initial credentialing and recredentialing processes for all providers.
• Conduct primary source verification for licensure, education, certification, and malpractice coverage.
• Prepare credentialing packets for committee review and maintain accurate documentation.
• Monitor expirables and maintain compliant credentialing files.
Compliance & Record Management
• Maintain databases, logs, and reporting tools related to credentialing and enrollment.
• Ensure compliance with ACHC, CMS, state regulations, and Medical Staff Bylaws.
• Protect confidentiality and maintain secure credentialing records.
Cross-Functional Collaboration
• Serve as a resource for internal departments regarding credentialing requirements and timelines.
• Support smooth onboarding and timely provider readiness.
Qualifications
Required
• High school diploma or equivalent.
• Minimum 2 years of medical staff credentialing experience.
• Strong organizational skills and ability to manage multiple priorities.
• High attention to detail and accuracy.
• Ability to maintain confidentiality with sensitive information.
Preferred
• Associate's or Bachelor's degree in Healthcare Administration, Business, or related field.
• Experience with ACHC or similar accreditation standards.
• Familiarity with medical terminology and hospital or medical group operations.
EOE
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