Credentialing Coordinator
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Before you apply
SalaryNo pay range posted
LocationHoboken, NJ, US
Work modehybrid
Typefull-time
SeniorityMid
Experience2+ yrs
DepartmentAdministrative/Clerical
Company size1,001–5,000 people
PostedJul 10, 2026 · 3mo ago
Verified live3d ago
May no longer be actively hiring
Posted by the company on Jul 10, 202669% of this company's open roles have been listed for 90+ daysNo pay range listed, though New Jersey requires one
At a glanceSummarised by Seekless from the posting.
Previous experience in a Credentialing position required
CPMSM and/or CPCS Certification by the National Association Medical Staff Services required or obtained within two years of employment
A minimum of 2 years of experience
Must have excellent organizational, time management, customer service and oral & verbal communications skills
Ability to focus on detail while responding to multiple tasks simultaneously and work effectively in a goal-oriented team environment
Must be able to maintain confidentiality of proprietary information related to all aspects of the position, hospital, medical staff and allied health professional staff
Excellent interpersonal skills, including the ability to communicate clearly, professionally, both verbally and in writing with a broad range of professionals and people of varying education and backgrounds
Proficiency Cactus is critical
Proficiency in data entry, typing and computer skills using a variety of software programs including Microsoft Word, Excel, Access, Outlook, PowerPoint and Cactus
Willingness to maintain a flexible work schedule as needed
Ability to adapt to changing schedules, deadlines and demands, and a heavy workload
Degree in business or health related field desired
Influenza Vaccinations are a requirement for employment
We are an Equal Opportunity Employer encouraging diversity in the workplace
Skills
Cactus
Microsoft Word
Excel
Access
Outlook
PowerPoint
Benefits
Health insurance
Dental insurance
Vision insurance
401(k)
Tuition reimbursement
Paid time off
Employee wellness programs
About Us
Welcome to Hudson Regional Health
Technology Transforming Care
Hudson Regional Health is a newly unified healthcare network serving Hudson County through four hospitals:Secaucus University Hospital, Bayonne University Hospital, Hoboken University Hospital, and The Heights University Hospital in Jersey City.
Together, these hospitals form a single, integrated system with a shared vision—to deliver modern, patient-first care supported by innovation. From robotic-assisted surgery and AI-powered diagnostics to real-time monitoring and precision neurosurgery, HRH is redefining what’s possible in community healthcare.
Patients across the region now have access to state-of-the-art procedures and nationally recognized specialists, all within a connected, local network designed to put care first.
Our Services
We focus on the care our patients need most, delivered with precision, innovation, and a commitment to excellence.
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Advanced Emergency Services – 24/7 emergency departments across all four hospitals
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Robotic-Assisted Surgery – featuring the Da Vinci XI and ExcelsiusGPS systems
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Neurosurgery & Spine Care – including Stealth Navigation and precision-guided treatment
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Women’s Health & Maternity – comprehensive services tailored for every stage
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Imaging & Diagnostics – AI-enhanced systems for faster, more accurate results
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Outpatient & Specialty Care – coordinated care across multiple disciplines
Our Hospitals
Explore our hospitals and discover care that’s high-tech, high-touch, and close to home:
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Secaucus University Hospital, Flagship campus featuring the Robotic Surgery Institute and modernized emergency care.
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Bayonne University Hospital, A full-service community hospital offering personalized acute care.
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Hoboken University Hospital, A local leader in women’s health, family medicine, and outpatient services.
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The Heights University Hospital (Jersey City), Expanding access to state-of-the-art care in the heart of Jersey City.
What You’ll Be Doing
The successful candidate, under the supervision of the System Director of Medical Staff Credentialing and Payor Enrollment, will be responsible for credentialing and recredentialing practitioners as well as enrollment with participating client health plans. Credentialing functions include, but are not limited to, processing credentialing applications, following up with payers, and updating and maintaining the CAQH data base. As well as following applicable state and federal requirements for Medicare and Medicaid.
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Leads, coordinates, and monitors the review and analysis of practitioner applications and accompanying documents, ensuring applicant eligibility.
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Conducts thorough background investigation, research and primary source verification of all components of the application file.
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Identifies issues that require additional investigation and evaluation, validates discrepancies and ensures appropriate follow up.
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Prepares credentials file for completion other healthcare organizations, ensuring file completion within time periods specified.
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Responds to inquiries from other healthcare organizations, interfaces with internal and external customers on day-to-day credentialing issues as they arise.
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Utilizes the Cactus credentialing database, optimizing efficiency, and performs query, report and document generation; submits and retrieves National Practitioner Database reports in accordance with Health Care Quality Improvement Act.
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Monitors the initial, reappointment and expirable process for all medical staff, Allied Health Professional staff, Other Health Professional staff, and delegated providers, ensuring compliance with regulatory bodies (Joint Commission, NCQA, URAC, CMS, federal and state), as well as Medical Staff Bylaws, Rules and Regulations, policies and procedures, and delegated contracts.
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Performs miscellaneous job-related duties as assigned.
What We’re Looking For
Full-Time, Days
Hybrid Remote Schedule
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Degree in business or health related field desired. Previous experience in a Credentialing position required.
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CPMSM and/or CPCS Certification by the National Association Medical Staff Services required or obtained within two years of employment.
•
A minimum of 2 years of experience
•
Affiliation with the National Association Medical Staff Services and the State Association Medical Staff Services strongly encouraged.
•
Must have excellent organizational, time management, customer service and oral & verbal communications skills
•
Ability to focus on detail while responding to multiple tasks simultaneously and work effectively in a goal-oriented team environment
•
Must be able to maintain confidentiality of proprietary information related to all aspects of the position, hospital, medical staff and allied health professional staff
•
Excellent interpersonal skills, including the ability to communicate clearly, professionally, both verbally and in writing with a broad range of professionals and people of varying education and backgrounds.
•
Proficiency Cactus is critical.
•
Proficiency in data entry, typing and computer skills using a variety of software programs including Microsoft Word, Excel, Access, Outlook, PowerPoint and Cactus
•
Willingness to maintain a flexible work schedule as needed.
•
Ability to adapt to changing schedules, deadlines and demands, and a heavy workload
What We Offer
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Competitive compensation based on experience and qualifications: When determining the compensation, several factors may be considered including, years of relevant experience, credentials, union contracts, education, and internal equity.
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Comprehensive health, dental, and vision insurance
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401K, Retirement savings plan
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Generous Paid Time Off (PTO) and paid holidays
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Tuition Reimbursement
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Opportunities for professional growth, development, and continuing education
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Employee wellness programs and resources
Influenza Vaccinations are a requirement for employment. If you are not currently vaccinated you will be required to receive the vaccination prior to hire date, during the influenza season, if you are offered employment, unless you request and receive an approved medical exemption.
Legal
We are an Equal Opportunity Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, gender, age, religion, disability, sexual orientation, veteran status, marital status, or any other characteristic protected by law.