Credentialing & Privileging Specialist

The Credentialing & Privileging Specialist supports Lifepoint Health’s Credentialing Support Services team by managing provider credentialing, privileging, reappointment, and compliance documentation. This role processes provider application packages, verifies provider information, monitors licenses and malpractice coverage, maintains credentialing databases, and collaborates with facility medical staff offices.

This position requires strong accuracy, confidentiality, regulatory awareness, documentation management, and the ability to handle high-volume credentialing workflows in a fully remote environment. The specialist works with medical staff personnel, providers, and internal teams to ensure provider files are complete, timely, and compliant with federal, state, NCQA, and organizational standards.

### Key Responsibilities

* Process initial credentialing application packages
* Process provider reappointment applications
* Use MD-Staff to manage credentialing workflows
* Verify provider application accuracy
* Ensure compliance with federal and state standards
* Support NCQA credentialing standards
* Collaborate with facility medical staff offices
* Monitor provider medical licenses
* Monitor malpractice insurance status
* Track license and certification renewals
* Follow up on outstanding provider documentation
* Communicate with Medical Staff Personnel
* Communicate with providers regarding record updates
* Maintain credentialing databases
* Update education, training, experience, and licensure records
* Support regulatory and accrediting organization compliance
* Maintain reliable attendance and complete assigned duties

### Requirements

* High School Diploma or equivalent
* 2+ years Medical Staff Credentialing and Privileging experience
* General understanding of healthcare regulatory compliance
* HIPAA knowledge
* Ability to apply policies and procedures
* Knowledge of business office standards
* Data entry experience
* Spreadsheet and documentation experience
* Ability to manage multiple tasks simultaneously
* Ability to handle multiple projects
* Strong written and verbal communication skills
* Ability to work independently in a remote environment
* Private home workstation free from distractions

### Preferred Qualifications

* MD-Staff experience
* NCQA credentialing experience
* Medical Staff Services experience
* Provider file management experience
* Healthcare administration experience
* Multi-facility credentialing experience
* Database management experience
* Presentation or training experience

### Benefits

* Medical insurance
* Dental insurance
* Vision insurance
* Paid time off
* Paid family leave
* Life insurance
* Accident insurance
* Critical illness insurance
* Hospital indemnity insurance
* Short-term disability insurance
* Long-term disability insurance
* Tuition assistance
* Certification tuition assistance
* Loan assistance
* 401(k) with company match
* Wellness programs
* Virtual care appointments
* Mental health services
* Discount programs
* Career advancement opportunities

### Phone Level Breakdown

* Provider communication: Low to Moderate
* Medical staff office communication: Moderate
* Internal team collaboration: Moderate
* Database/documentation work: High
* Application review: High
* Patient interaction: None

### Best Fit For

Candidates with experience in credentialing, privileging, provider enrollment, medical staff services, healthcare administration, compliance documentation, provider file management, MD-Staff, NCQA standards, licensing verification, and remote administrative support.