Credentialing Specialist

Ocean Beach Health•Ilwaco, WA

About The Position

Credentialing Specialist – Full Time Ocean Beach Health Build a career where your work truly matters. Job Summary: The Credentialing Specialist is responsible for coordinating, verifying, and maintaining provider credentialing and privileging records to ensure compliance with organizational, regulatory, and accreditation requirements. This role plays a critical part in supporting patient safety, regulatory readiness, and timely onboarding of providers by managing all aspects of the credentialing lifecycle with accuracy, confidentiality, and professionalism. Why You'll Love Working Here Family-feel culture with collaborative mentorship Meaningful work that directly supports patient care Opportunity to grow your skills in a healthcare environment Live and work on the beautiful Long Beach Peninsula on the Washington Coast Benefits That Support You Medical, dental, and vision insurance 5+ weeks of PTO in your first year 9 paid holidays 8 paid volunteer hours annually Short-term disability coverage Retirement plan with 5% employer match after one year Employee Assistance Program (EAP) And more

Requirements

High school diploma required; associate or bachelor's degree preferred
2 years of experience in medical staff services, credentialing, or healthcare administration preferred
Experience in hospital or multi-provider clinic setting strongly preferred
Strong knowledge of credentialing and privileging processes and regulatory requirements
Familiarity with CMS, National Committee for Quality Assurance (NCQA), and state licensing standards
Excellent attention to detail and organizational skills
Ability to manage multiple providers and deadlines simultaneously
Strong written and verbal communication skills
High level of professionalism and discretion
Proficient in Microsoft Office and credentialing databases/systems
CPR certification required within probationary period.

Nice To Haves

Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) preferred or willingness to obtain

Responsibilities

Coordinate initial and recredentialing processes for all medical staff and allied health professionals
Collect, verify, and evaluate provider credentials in accordance with hospital policy, medical staff bylaws, and regulatory standards
Perform primary source verification for licensure, education, training, board certification, DEA registration, and work history
Prepare credentialing and privileging files for review by Medical Staff leadership, Credentials Committee, and Governing Board
Maintain accurate, complete, and up-to-date credentialing files and databases
Track expiration dates and proactively manage reappointments and renewals to prevent lapses
Serve as a liaison between providers, medical staff leadership, HR, compliance, and department leadership
Ensure compliance with CMS, state, and payer credentialing requirements
Support onboarding of new providers by coordinating credentialing, privileging, and enrollment timelines
Respond to internal and external audits, surveys, and credential requests
Maintain strict confidentiality of all providers and organizational information
Completes all training on time.
Contributes to a culture of Patient Centered Care.
Contributes to a safe work environment.
Demonstrates commitment to the team.
Maintain practices of financial stewardship.
Regular and punctual attendance required.
Adheres to all company policies and procedures.
Must be able to respond to emergencies.
Supports Organizational Values
Other duties may be assigned.