Westcancercenter
Credentialing Specialist - Full Time - Germantown, TN
Germantown, TN. Posted 26 days ago
The role
The Credentialing Specialist maintains active credentialing status for providers by completing initial and ongoing credentialing, privileging, licensing, and enrollment requirements. This role manages provider information across multiple databases and ensures compliance with regulatory and organizational requirements.
What you will do
- Maintain provider information in external credentialing databases and MD-Staff system
- Complete provider credentialing and recredentialing applications
- Generate MD-App portals for new providers and assist with portal questions
- Complete and submit Tennessee, Mississippi, and Arkansas medical license applications
- Monitor expiration dates for state medical licenses, DEA registrations, life support certifications, and board certifications
- Maintain copies of state licenses, board certifications, DEA certificates, and malpractice coverage
- Manage MD-Staff workflows, application progress, and checklist completion
- Coordinate provider enrollment and status changes with the malpractice carrier
- Ensure physicians complete annual SVMIC CME risk management requirements
- Audit health plan directories to ensure accurate provider information
Required qualifications
- High school diploma or GED
- Minimum of three (3) years of experience in a medical practice business office
- Ability to organize and prioritize work while managing multiple priorities
- Excellent verbal and written communication skills
- Excellent attention to detail
- Ability to research and analyze information
- Ability to work independently with minimal supervision
- Ability to establish and maintain effective working relationships
- Proficiency in Microsoft Office applications, including Word, Excel, and Access
Nice to have
- Three (3) or more years of credentialing experience
Benefits
- Comprehensive benefits package
About the company
West Cancer Center is committed to providing exceptional, patient-centered cancer care through collaboration, innovation, and operational excellence.