Credentialing Specialist Job at Insight Global, Cape May Court House, NJ

Y3lIRDlWRmFHMHlMU0h2OENBZG92OHFJY0E9PQ==
  • Insight Global
  • Cape May Court House, NJ

Job Description

Job Description

Job Description

Job Description

We are seeking a highly organized and detail-oriented Credentialing Specialist to join our Medical Staff Office. This role is distinct from provider enrollment or CVO functions and focuses on credentialing physicians, advanced practice providers (APPs), and allied health professionals for hospital privileges. You will work closely with HR, department leaders, and providers to ensure a seamless and compliant onboarding experience.

Key Responsibilities:

  • Manage the full credentialing lifecycle for MDs, DOs, NPs, PAs, PTs, and other allied health professionals—from application to Board of Trustees approval.
  • Conduct thorough background investigations, including NPDB checks, malpractice history reviews, gap analysis, and reference verification.
  • Collaborate with HR post-offer to initiate onboarding and ensure alignment with credentialing timelines.
  • Guide providers through the credentialing process, collecting case logs and documentation to meet privileging criteria.
  • Maintain accurate records in credentialing software systems, including Cactus/Symplr & Echo.
  • Identify behavioral patterns or red flags in application histories and escalate appropriately.
  • Prepare credentialing files for monthly committee reviews and maintain compliance with hospital and regulatory standards.
  • Handle a caseload of 5+ active files, processing approximately 30 applications monthly, with seasonal surges of 60–70 during new graduate onboarding months.

 

Required Skills & Experience

  • Experience with Credentialing Software – Familiarity with Cactus and/or Symplr or Echo.
  • Ability to conduct deep background checks, identify gaps in time, and analyze malpractice patterns using tools like NPDB.
  • Experience working on at least 5+ files at one given time working on initial appointments and re-appointments.
  • Comfortable speaking with providers, references, department heads, and HR partners.

Job Tags

Seasonal work, Work at office,

Similar Jobs

Marriott International International, Inc

Loss Prevention Officer- ICE! Seasonal Job at Marriott International International, Inc

 ...release information only to authorized individuals. Conduct investigations and gather evidence. Conduct interviews with relevant parties...  ...Education: High school diploma or G.E.D. equivalent.Related Work Experience: No related work experience.Supervisory Experience: No... 

Meyer's RV & Marine

Title Clerk Job at Meyer's RV & Marine

 ...Description: Meyer's of Syracuse is seeking a talented, fresh, energetic individual to join our team and assist in our title office. The Title Clerk is accountable for performing the duties and responsibilities described below: Submit complete and accurate title/... 

Alliance For MultiSpecialty Research LLC

Clinical Research Coordinator Job at Alliance For MultiSpecialty Research LLC

 ...Job Description Job Description The Clinical Research Coordinator will perform and manage tasks that are critical to clinical research studies. The Clinical Research Coordinator must ensure compliance with federal regulations, study protocol guidelines, as well as... 

Peoria Plaza Tire Inc

Tire Tech Job at Peoria Plaza Tire Inc

 ...follow directions & protocols ~ Produce high volumes per day with accuracy ~ Able to identify potential issues Benefits: ~401k ~ Health Insurance ~ Dental, Vision & Life Insurance ~ Paid Vacation & Holidays ~ Employee Discounts Requirements:... 

EXOS

Yoga Instructor Job at EXOS

Job Summary:ResponsibilitiesWe're seeking a Yoga Instructor to lead our fitness classes. As our new Yoga Instructor you must be:Enthusiastic about group exercise classes and enjoy creating and delivering new, fresh and innovative routinesConfident in your professionalism...