Credentialing & Privileging Specialist – Rapid City, SD

Join our team and experience a rewarding career in a supportive and collaborative environment. We are seeking experienced Credentialing & Privileging Specialists to join a leading healthcare facility in Rapid City, SD.

Position Overview

This non-clinical position plays a vital role in supporting healthcare operations by ensuring all providers meet compliance standards for credentialing and privileging.

Key Responsibilities:

• Credentialing Coordination:
  • Collect and verify provider documentation to meet organizational and regulatory standards.
  • Process applications for initial credentialing and recredentialing.
• Privileging Management:
  • Review and maintain up-to-date provider privilege information.
  • Coordinate with medical staff offices to ensure accurate privilege assignments.
• Compliance and Verification:
  • Ensure adherence to accreditation standards and state/federal regulations.
  • Verify licenses, certifications, and professional references.
• Data Management:
  • Maintain accurate and organized provider records in the credentialing database.
  • Generate reports as required for audits and compliance reviews.
• Communication and Support:
  • Serve as the liaison between providers, medical staff, and credentialing committees.
  • Address inquiries and resolve discrepancies related to credentialing.

Qualifications:

• Proven experience in credentialing and privileging processes.
• Strong knowledge of healthcare regulations and accreditation standards (e.g., Joint Commission, NCQA).
• Proficiency with credentialing software and database management.
• Excellent organizational and attention-to-detail skills.
• Strong communication skills for interfacing with providers and staff.

Skills and Certifications:

• Joint Commission
• NCQA

Position Type: Non-Clinical

Start Date: ASAP preferred

Number of Openings: 4

To Apply:

Please submit your resume and cover letter to iking@virtushealthcarestaffing.com.

Learn More:

Learn more about Virtus Healthcare Staffing and view our other exciting career opportunities by visiting our website: www.virtushealthcarestaffing.com.