Advanced Credentialing Specialist
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Key details
- Location
- Fort Wayne, IN, United States
- Work style
- Onsite
- Level
- Mid level
- Job type
- Full-time
- Experience
- 2–4 yrs
- Function
- Operations & Strategy
- Focus area
- other
- Posted
- 3w ago
Skills
About the role
Advanced Credentialing Specialist
Our leaders shape strategic initiatives, develop passionate teams, and work to improve health outcomes. They advance our mission and exemplify excellence, compassion, teamwork and purpose in all that they do. Indiana University Health is seeking individuals who embody these values to join our Medical Staff Services Team in the role of Advanced Credentialing Specialist.
The Advanced Credentialing Specialist supports IU Health's patient safety, quality, and regulatory compliance objectives through the coordination and execution of complex credentialing and privileging activities for medical staff and licensed practitioners. This role is responsible for conducting and maintaining comprehensive primary source verification; facilitating credentialing, recredentialing, and privileging processes; supporting ongoing clinical competency evaluations; managing peer review activities; and facilitating Medical Staff functions in accordance with Medical Staff Bylaws, organizational policies, accreditation standards, and federal and state regulations. The Advanced Credentialing Specialist applies critical thinking and professional judgment to analyze credentialing information, identify discrepancies, evaluate trends and potential risk indicators, and ensure practitioner records are accurate, complete, and maintained within designated systems to support informed, risk-based decision-making. Leveraging advanced knowledge of regulatory and accreditation requirements, this individual helps ensure compliant credentialing practices and quality outcomes across the organization. Additionally, the Advanced Credentialing Specialist serves as a resource and mentor to credentialing staff by supporting training, onboarding, and professional development efforts. This role contributes to the development, interpretation, and maintenance of credentialing policies and procedures, participates in audits and quality reviews, and leads or supports process improvement initiatives to enhance operational effectiveness, consistency, compliance, and continuous improvement throughout credentialing operations.
Minimum Candidate Qualifications
Bachelor's Degree or equivalent years of experience is required.
Requires 2-4 years of relevant experience.
Certified Provider Credentialing Specialist (CPCS) certification is preferred.
Requires proficiency in Microsoft 365 applications (Word, Excel, PowerPoint, Outlook).
Working knowledge of credentialing software is preferred.