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Urgent! Credentialing Spec Job Opening In Franklin – Now Hiring Community Health Systems
**Job Summary**
The Credentialing Specialist is responsible for coordinating and processing all aspects of healthcare provider credentialing to ensure compliance with internal policies, hospital partner requirements, and regulatory standards.
This role supports both initial and ongoing credentialing for assigned providers, ensuring timely privilege issuance, regulatory compliance, and accurate data management.
The Specialist partners with hospital staff, third-party vendors, and insurance entities to maintain provider readiness and access.
**Essential Functions**
+ Collects, reviews, and verifies credentialing documentation for completeness and compliance with state, federal, and facility-specific requirements.
+ Processes initial and recredentialing applications, including primary source verifications (PSV), privileging forms, and insurance applications.
+ Tracks licensure, DEA, CSR, and certification renewals to ensure providers maintain active, unexpired credentials.
+ Prepares and submits state collaborative agreements for advanced practice providers and monitors compliance.
+ Coordinates license and credential requests with third-party vendors and monitors through issuance.
+ Serves as liaison between providers, insurance carriers, and hospital credentialing departments to resolve issues and provide status updates.
+ Maintains accurate provider data within credentialing databases, ensuring up-to-date records for internal and external audits.
+ Prepares standard reports related to credentialing activities, expirables, and privileging timelines.
+ Supports insurance enrollment and access setup in accordance with operational standards.
+ Escalates delays or compliance concerns to leadership promptly.
+ Performs other duties as assigned.
+ Maintains regular and reliable attendance.
+ Complies with all policies and standards.
**Qualifications**
+ H.S. Diploma or GED required
+ Associate Degree in Healthcare Administration, Business, or a related field preferred
+ 2-4 years of experience in credentialing or provider enrollment required
+ Experience supporting hospital credentialing programs or medical staff offices preferred
**Knowledge, Skills and Abilities**
+ Strong understanding of credentialing processes, regulatory requirements, and accreditation standards (e.g., The Joint Commission, NCQA).
+ Familiarity with provider enrollment and privileging procedures.
+ Excellent attention to detail and accuracy in managing credentialing data.
+ Effective communication and customer service skills.
+ Ability to prioritize tasks, meet deadlines, and manage multiple requests simultaneously.
+ Proficiency in MS Office Suite and credentialing software systems (e.g., MD-Staff or similar).
+ Ability to work independently and handle confidential information with discretion.
**Licenses and Certifications**
+ Certified Provider Credentialing Specialist (CPCS) preferred
Equal Employment Opportunity
This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations.
In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment.
This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to http://www.chs.net/serving-communities/locations/ to obtain the main telephone number of the facility and ask for Human Resources.
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Unlock Your Credentialing Spec Potential: Insight & Career Growth Guide
Real-time Credentialing Spec Jobs Trends in Franklin, United States (Graphical Representation)
Explore profound insights with Expertini's real-time, in-depth analysis, showcased through the graph below. This graph displays the job market trends for Credentialing Spec in Franklin, United States using a bar chart to represent the number of jobs available and a trend line to illustrate the trend over time. Specifically, the graph shows 1498 jobs in United States and 4 jobs in Franklin. This comprehensive analysis highlights market share and opportunities for professionals in Credentialing Spec roles. These dynamic trends provide a better understanding of the job market landscape in these regions.
Great news! Community Health Systems is currently hiring and seeking a Credentialing Spec to join their team. Feel free to download the job details.
Wait no longer! Are you also interested in exploring similar jobs? Search now: Credentialing Spec Jobs Franklin.
An organization's rules and standards set how people should be treated in the office and how different situations should be handled. The work culture at Community Health Systems adheres to the cultural norms as outlined by Expertini.
The fundamental ethical values are:The average salary range for a Credentialing Spec Jobs United States varies, but the pay scale is rated "Standard" in Franklin. Salary levels may vary depending on your industry, experience, and skills. It's essential to research and negotiate effectively. We advise reading the full job specification before proceeding with the application to understand the salary package.
Key qualifications for Credentialing Spec typically include Other General and a list of qualifications and expertise as mentioned in the job specification. Be sure to check the specific job listing for detailed requirements and qualifications.
To improve your chances of getting hired for Credentialing Spec, consider enhancing your skills. Check your CV/Résumé Score with our free Resume Scoring Tool. We have an in-built Resume Scoring tool that gives you the matching score for each job based on your CV/Résumé once it is uploaded. This can help you align your CV/Résumé according to the job requirements and enhance your skills if needed.
Here are some tips to help you prepare for and ace your job interview:
Before the Interview:To prepare for your Credentialing Spec interview at Community Health Systems, research the company, understand the job requirements, and practice common interview questions.
Highlight your leadership skills, achievements, and strategic thinking abilities. Be prepared to discuss your experience with HR, including your approach to meeting targets as a team player. Additionally, review the Community Health Systems's products or services and be prepared to discuss how you can contribute to their success.
By following these tips, you can increase your chances of making a positive impression and landing the job!
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