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Credentialing Specialist

Job in Fall River, Bristol County, Massachusetts, 02720, USA
Listing for: Southcoast Health System
Full Time position
Listed on 2026-01-12
Job specializations:
  • Healthcare
    Healthcare Administration
Salary/Wage Range or Industry Benchmark: 60000 - 80000 USD Yearly USD 60000.00 80000.00 YEAR
Job Description & How to Apply Below

Community Focused. Care Driven.

Join Southcoast Health, where your future is as promising as the care we provide. Our commitment to each other, our patients, and our community is more than a mission - it's our way of life, and you'll be at the heart of it.

Southcoast Health is a not-for-profit, charitable, health system with multiple hospitals, clinics and facilities throughout southeastern Massachusetts and Rhode Island.

Nestled in local communities, Southcoast Health provides inclusive, ethical workplaces where our highly skilled caregivers offer world‑class, comprehensive healthcare close to home.

Find out for yourself why Southcoast Health has been voted 'Best Place to Work' for 7 years in a row!

We are searching for a talented Credentialing Specialist

Hours: 40hrs

Shift: Day shift, 8:00am - 4:30pm

Location:
Charlton Memorial Hospital - Fall River, MA

A career at Southcoast Health offers you:

  • A culture of well‑being that embraces, respects, and celebrates the rich diversity of one another and the communities we serve
  • Competitive pay and comprehensive benefits package
  • Generous Earned Time Off Package
  • Employee Wellbeing Program
  • 403B Retirement Plan with company match
  • Tuition assistance / Federal Loan Forgiveness programs
  • Professional growth opportunities and customized leadership training

Available to regular status employees who are scheduled to work a minimum of 24 hours.

Southcoast Health is an Equal Opportunity Employer.

Responsibilities

Under the direction of the Director, Medical Staff Services, coordinate the medical staff services provisional and reappointment credentialing and privileging process for the Southcoast Health System and Southcoast Health Network. Coordinate third‑party payer credentialing and re‑credentialing as outlined by our payer contracts for the Southcoast Health System and Southcoast Health Network. Responsible for the coordination of Medical Staff committees and meetings.

Ensure data security and professional confidentiality standards are met. Perform daily functions and projects as assigned by the Director of Medical Staff Services.

Qualifications
  • A Bachelor’s Degree or equivalent combination of education and experience is required.
  • Certification as a Certified Provider Credentialing Specialist is required within 3 years of eligibility.
  • Minimum three years related experience required.
  • Must be fully vaccinated against seasonal Influenza and the COVID‑19 virus or be exempt from the requirement for medical or personal reasons by signing a statement certifying you are choosing to be exempt from vaccination once hired.

Compensation:
Pay rate will be determined based on level of experience.

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