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

TkZMY0Jad1hWSWdOaVdOYit3WHhHOHRZZmc9PQ==
  • 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

Ag Plus

Accounting Assistant Job at Ag Plus

 ...over a century, northeast Indiana has been home to a hardworking farming community built on integrity, resilience, and family values....  ...with cost accounting to provide clear insights into the organization's financial health. The role requires close collaboration with... 

TriVista Recruitment

Plant General Manager Job at TriVista Recruitment

 ...Youll Do: Lead the largest U.S. facility (and company HQ), overseeing production, supply chain, logistics, and facilities. Manage and develop a multi-disciplinary team across value streams and support functions. Scale plant output by optimizing processes and... 

McMahon Careers

Director of Racquet Sports-Lakes at Castle Hills Job at McMahon Careers

 ...Hills is a premier private country club founded in 1999 and redesigned in 2011. From its championshiplevel 18hole golf course - recognized among Texas's Top 100 - to its boutique atmosphere, resortstyle pool, fitness center, dining, and events, the club offers a full... 

Robert Half

Entry Level Accountant Job at Robert Half

 ...Description Job Description We are looking for a motivated Entry Level Accountant to join our team in Charlotte, North Carolina. This...  ...accounting standards. Bachelors degree in Accounting or Finance. Strong knowledge of GAAP accounting principles and practices... 

firstPRO 360

Customer Service Representative Job at firstPRO 360

 ...company has an immediate need for a Customer Service/Call Center Representative to work as a first responder with external customers. In this role,...  ...call center environment, handling instances via phone, chat, and email promptly and professionally. Duties include general...