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Medical Staff Credentialing Specialist

Remote · Malaysia Full-time

This is a Fully Remote Job About Our Client: The organization operates within the healthcare industry, focusing on community-based care across multiple hospital facilities. It addresses the challenge of ensuring quality patient care and compliance by supporting timely provider credentialing and onboarding processes. The organization emphasizes a remote work environment and collaborative support to maintain standards and regulatory compliance across its facilities. About the Opportunity: The MEDICAL STAFF CREDENTIALING SPECIALIST role is responsible for managing provider credentialing processes to support efficient onboarding and ongoing compliance. This position ensures that providers are verified and credentialed accurately and promptly, contributing to patient care quality and regulatory adherence. The specialist plays a key role in maintaining provider files, coordinating with various stakeholders, and upholding credentialing standards critical to the organization’s operations. Responsibilities: Process provider appointments, reappointments, and privileging applications according to policies and standards. Perform primary source verification of licensure, education, certification, work history, references, and other credentialing requirements. Prepare credentialing files for review by leadership and committees. Maintain accurate credentialing records in designated systems. Collaborate with staff and providers to obtain documentation and resolve credentialing issues. Monitor provider credential expirations to ensure ongoing compliance. Support privileging activities and maintain privilege records. Ensure compliance with Joint Commission, CMS, NCQA, state regulations, and bylaws. Manage multiple credentialing files while meeting turnaround times and service expectations. Participate in quality assurance, audits, and process improvements. Requirements: High school diploma or equivalent; combination of education and experience considered. Minimum 2 years of provider credentialing experience; hospital Medical Staff credentialing preferred. Experience credentialing physicians, advanced practice providers, or other licensed healthcare professionals. Skilled in primary source verification, file review, and compliance activities. Knowledge of credentialing standards from Joint Commission, CMS, NCQA preferred. Experience with credentialing committees, privileging processes, or provider onboarding is a plus. Familiarity with credentialing platforms such as MD-Staff, CredentialStream, Cactus, Symplr preferred. Strong organizational and multitasking skills. Ability to work independently in a remote setting while maintaining quality. Pay Range and Compensation Package: Pay range: $20 to $25 per hour. Benefits & Perks: Multiple levels of medical, dental, and vision coverage for full-time and part-time employees. Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave, and paid time off. Tuition assistance, loan assistance, and 401(k) retirement plan with company match. Wellness programs including gym memberships, virtual care, mental health services, and discounts. Ongoing learning and career development opportunities. Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin. Note: TalentHop is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.

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