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Credentials II Provider Enrollment
101 Truman Medical Center
Job LocationUH Lakewood Medical Center
Kansas City, Missouri
Medical Staff Corporate
Full time
8:00AM - 4:30PM
40
Make an Impact Behind the Scenes of Patient Care
Every exceptional patient experience begins with exceptional providers - and behind every qualified provider is a credentialing professional who ensures quality, compliance, and excellence. We're seeking a detail-oriented, highly organized Credentialist II to join our Medical Staff Services team. In this role, you will play a critical part in safeguarding patient safety, maintaining regulatory compliance, and supporting the integrity of our Medical Staff operations. If you thrive in a fast-paced healthcare environment, enjoy working with physicians and leadership, and have a strong eye for detail, we'd love to connect with you.
What You'll Do
As a Credentialist II, you will manage the full lifecycle of medical staff credentialing activities, including:
Credentialing & Compliance
Perform all phases of credentialing for initial appointments and reappointments Verify licensure, BNDD, DEA, privileges, OPPE, FPPE, PI data, and other regulatory requirements Ensure compliance with Medical Staff Bylaws, Credentialing Plan, policies, and accrediting bodies Prepare files for audits (TJC, CMS, NCQA) and conduct compliance reviews Maintain and audit credentialing files (electronic and paper)
Database & Reporting
Maintain accuracy in the CACTUS database Track credentialing activities through logs and reporting tools Generate rosters, reports, queries, and credentialing documentation as needed
Committee & Administrative Support
Prepare application packets and credentialing correspondence Support Credentials Committee preparation and documentation Record, transcribe, and maintain Medical Staff meeting minutes as needed Assist with temporary privileges and affiliation verifications Provide administrative support to ensure smooth department operations
Collaboration & Professionalism
Build strong working relationships with physicians, department leaders, managed care staff, and administrative teams Promote quality improvement, patient safety, and cultural diversity Maintain current knowledge of applicable statutes, regulations, and compliance standards
What You Bring
Minimum Qualifications
High School Diploma or GED 3+ years of experience in:
Medical staff credentialing OR managed care credentialing OR an academic medical center working with physicians and administrative processes
Strong computer proficiency and database experience Exceptional attention to detail and accuracy Ability to manage multiple deadlines and competing priorities Experience taking minutes and supporting committees Strong interpersonal skills and ability to work effectively with physicians and leadership Ability to exercise independent judgment and diligence in credentialing activities
Preferred
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