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Privileging and Credentialing Operations Specialist
Monogram Health. Prepare and submit medical staff and privileging applications, including EMR access, initial appointments, and reappointments .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical staff services and provider credentialing, with a strong understanding of hospital privileging standards and compliance requirements. Proficient in managing application processes, maintaining credentialing records, and effectively communicating with stakeholders.
Highest-signal resume keywords
Provider CredentialingHospital PrivilegingCertified Provider Credentialing Specialist (CPCS)Microsoft Excel ProficiencyData Integrity Audits
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical Staff ApplicationsCredentialing StandardsProvider AffiliationsResearch SkillsAnalytical SkillsWorkflow CoordinationDocument ManagementApplication TrackingRegulatory InterpretationConfidential Information Handling
Soft Skills
Effective CommunicationRelationship-BuildingOrganizational SkillsAttention to DetailAdaptability
Tools & Technologies
Microsoft OfficeAdobe AcrobatDocuSignSmartsheetCredentialing Software
Certifications & Qualifications
Certified Provider Credentialing Specialist (CPCS)Certified Professional in Medical Services Management (CPMSM)
Industry Keywords
Healthcare OperationsHealthcare ComplianceNCQAJoint CommissionProvider Enrollment
About the role
Key responsibilities & impact- Prepare and submit medical staff and privileging applications, including EMR access, initial appointments, and reappointments
- Tailor applications to facility affiliation levels, privileging requirements, and standards
- Work with clinicians to obtain required information and documentation
- Serve as the primary contact between Monogram Health and hospital credentialing offices
- Track applications through completion, expedite approvals, and communicate status, outstanding items, and roadblocks
- Report status and projected timelines to executive leadership and escalate roadblocks
- Complete ad hoc privileging research for strategic initiatives
- Coordinate workflows across Licensing, Provider Enrollment, Primary Source Verification, and Privileging
- Manage intake and workload trackers, practitioner rosters, and offboarding trackers
- Support onboarding and offboarding documentation, including DocuSign packets
- Maintain credentialing records, notes, status updates, and supplemental documents
- Pull system reports and manage daily workflow priorities
- Prepare weekly leadership reports and twice-monthly ProviderTrust Credentialing reports
- Conduct data integrity audits and monthly Ongoing Monitoring
- Participate in cross-functional efficiency and compliance projects
- Provide backup support for payer enrollment and internal credentialing
- Support additional credentialing, provider operations, and strategic initiatives as needed
Requirements
What you’ll need- High school diploma or GED required
- Bachelor's degree or equivalent experience preferred
- Certification as a Certified Provider Credentialing Specialist (CPCS) or Certified Professional in Medical Services Management (CPMSM) is a plus
- Minimum of three (3) years of progressively responsible experience in medical staff services, provider credentialing, hospital privileging, healthcare operations, or healthcare compliance
- Direct responsibility for hospital medical staff applications and provider affiliations
- Demonstrated understanding of hospital credentialing, affiliation levels, and privileging standards, including NCQA and Joint Commission credentialing requirements
- Proficiency in Microsoft Office, particularly Excel and Word
- Proficiency in Adobe Acrobat, DocuSign, and Smartsheet
- Familiarity with credentialing software
- Ability to independently manage multiple time-sensitive application processes
- Demonstrated research and analytical skills
- Effective communication and relationship-building skills with hospital credentialing departments, providers, leadership, external agencies, and internal stakeholders
- Adaptability and comfort with change
- Proven organizational skills and attention to detail
- Ability to interpret regulations and handle confidential information with discretion
- Professionalism, poise, and strong critical thinking, judgment, and decision-making skills
Benefits
Comp & perks- Medical, dental, and vision insurance
- Employee assistance program
- Employer-paid and voluntary life insurance
- Disability insurance
- Health and flexible spending accounts
- 401k with employer match
- Financial wellness resources
- 20 PTO days
- 7 paid holidays
- 1 floating day
- Paid parental leave
- Work life assistance resources
- Physical wellness perks
- Mental health support
- Employee referral program
- BenefitHub employee discounts