Credentialing Consultant- Arnett Hospital - Full Time Days

Overview

Contributes to the ongoing achievement of the organization's patient safety goals through ensuring medical staff and providers are credentialed and privileged at IU Health facilities. Develops and maintains policies and protocols for the credentialing and privileging process in an effort to remain compliant with ongoing developments in the credentialing field as well as continuous quality improvement. Identifies, analyzes, and resolves information, discrepancies, and time gaps that could adversely affect a facility's ability to credential and privilege providers. Partners with medical staff, credentialing and privileging committees, and other key stakeholders to ensure compliance with credentialing standards. Participates in monitoring of ongoing clinical competence of providers. Responsible for maintaining accurate and comprehensive data in the credentialing software.

Position is Hybrid – 3 days per week on site (Arnett Administrative Office Building), 2 days remote.

Key Responsibilities:

• Credentialing and Re-Credentialing, Collect, verify, and evaluate healthcare providers’ qualifications, including education, training, licensure, certifications, and work history. Ensure timely completion of initial credentialing and recredentialing processes in accordance with regulatory and organizational standards.
• Compliance and Regulatory Oversight, Maintain compliance with federal, state, and accreditation standards (e.g., Joint Commission, CMS).
• Data Management and Documentation, Manage credentialing databases and systems to ensure accurate and up-to-date provider records. Prepare and maintain documentation for audits, surveys, and internal reviews.
• Communication and Coordination, Serve as a liaison between providers, medical staff offices, and other stakeholders. Communicate credentialing status and resolve issues or delays in the process.
• Meeting Preparation and Support, Prepare credentialing files, reports, and summaries for medical staff committee meetings. Attend meetings as needed to provide clarification, respond to inquiries, and support decision-making processes. Document meeting outcomes and ensure timely follow-up on action items related to credentialing.
  
  
  

Credentialing Experience Is Preferred, But Not Required.

Bachelor's degree required or equivalent work experience.

• 3-5 years of relevant experience preferred.
• Certified Provider Credentialing Specialist (CPCS) certification preferred. Encourage CPCS certification within three years of hire.
• Working knowledge of credentialing software preferred.
• Experienced proficiency in MS office (Word, PowerPoint, Excel).
  
  
  

We are an equal opportunity employer and value diversity and inclusion at IU Health. IU Health does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.