Specialist, Medical Credentialing - FT in Las Cruces, New Mexico at Three Crosses Regional Hospital

Medical Credentialing Specialist FT Position Available

If you're looking for a place to call home and grow your career, Three Crosses Regional Hospital is looking for you! We are seeking a Medical Credentialing Specialist to join our team that is committed to clinical excellence and building a patient-centered culture.

Three Crosses Regional Hospital is an advanced, independent healthcare organization led by a local team of professionals dedicated to delivering high-quality patient care and being the first choice for patients and providers in the communities we serve.

• Primary Job Responsibilities:
• Coordinate provider credentialing, privileging, appointments, reappointments, and payer enrollment activities.
• Collect, verify, and maintain practitioner credentials, licenses, certifications, DEA registration, and malpractice insurance.
• Maintain accurate and confidential credentialing files and databases.
• Monitor expiring credentials and ensure timely renewals and reappointments.
• Prepare credentialing files for committee review and approval.
• Coordinate Medicare, Medicaid, and commercial payer enrollment and revalidation.
• Serve as a resource for providers regarding credentialing, onboarding, and enrollment requirements.
• Assist with Medical Staff meeting preparation, documentation, and record management.
• Prepare reports related to credentialing status, provider enrollment, and compliance.
• Support Joint Commission, CMS, payer audits, and accreditation surveys.
• Maintain HIPAA compliance and protect confidential information.
• Prepare credentialing files for committee review and approval.
• Coordinate Medicare, Medicaid, and commercial payer enrollment and revalidation.
• Serve as a resource for providers regarding credentialing, onboarding, and enrollment requirements.
• Assist with Medical Staff meeting preparation, documentation, and record management.
• Prepare reports related to credentialing status, provider enrollment, and compliance.
• Support Joint Commission, CMS, payer audits, and accreditation surveys.
• Maintain HIPAA compliance and protect confidential information.

Requirements:

• Required: High School Diploma or equivalent
• 3 years’ experience in provider credentialing in a managed care setting.
• Preferred: CPCS certification

*Three Crosses Regional Hospital is an Equal Opportunity Employer.
We are committed to creating an inclusive environment for all employees and applicants and do not discriminate on the basis of race, color, religion, sex, pregnancy, sexual orientation, gender identity or expression, age, national origin, disability, veteran status, genetic information, or any other protected status under applicable law.