Top 3 Insurance verification specialist Jobs in Jackson, Mi

Credentialing Specialist - Medical Staff Affairs - Days
Henry Ford Health —Jackson, MI
- Full-time
- Hospital
- Mid-level
- Office
- Health insurance
- Dental insurance

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Credentialing Specialist - Medical Staff Affairs - Days

Henry Ford Health -
Jackson, MI

Apply Now

Job Details

Full-time

Benefits

Health insurance
Dental insurance
Tuition reimbursement

Qualifications

Medical credentialing background checks
Medical law
High school diploma or GED
Healthcare privacy protection

Full Job Description

Credentialing Specialist - Medical Staff Affairs - Days

Location: Henry Ford Health Jackson

Department: Medical Staff Affairs

Schedule: Full Time Days

About the Role

We are seeking a highly organized and knowledgeable Medical Staff Coordinator to oversee the operations of the Medical Staff Affairs office. This role plays a critical part in supporting credentialing and recredentialing processes in collaboration with the Central Verification Organization (CVO), managing medical staff meetings, and ensuring compliance with regulatory and accreditation standards. The coordinator serves as a key resource for medical staff, hospital administration, and legal counsel, maintaining confidentiality and promoting consistent, high-quality support across all medical staff functions.

Key Responsibilities

Coordinate and oversee the Medical Staff Affairs office operations.

Collaborate with the CVO on credentialing and recredentialing processes.

Manage medical staff meetings and ensure accurate flow of information from committees to the Medical Executive Committee and Board of Trustees.

Respond to verification requests and maintain accurate records.

Serve as a resource for medical staff regarding bylaws, policies, and regulatory standards.

Ensure compliance with accrediting bodies such as Joint Commission, NCQA, URAC, and HFAP.

Maintain working knowledge of relevant statutes and laws.

Coordinate annual medical staff projects and perform related bookkeeping activities.

Communicate regularly with physician quality teams, medical staff leaders, hospital administration, and legal counsel.

Maintain confidentiality of all medical staff and business-related information.

Support departmental performance and teamwork.

Qualifications

Strong understanding of medical staff credentialing and regulatory requirements.

Experience with accreditation standards (e.g., Joint Commission, NCQA, URAC, HFAP).

Excellent organizational, communication, and interpersonal skills.

Ability to manage multiple priorities and maintain confidentiality.

Proficiency in interpreting and applying medical staff bylaws, rules, and policies.

Prior experience in a healthcare or hospital setting preferred.

Why Join Us?

Be part of a mission-driven organization focused on excellence in patient care and provider support.

Work in a collaborative environment with opportunities for professional growth.

Play a vital role in ensuring quality and compliance across medical staff operations.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Interprets, explains and follows all regulatory guidelines, including medical staff bylaws, rules and regulations and policies.
Credentialing initial and reappointment applications to meet regulatory and department standards and deadlines.

EDUCATION/EXPERIENCE REQUIRED: High School Diploma required. Associate's Degree, preferred. One (1) year of credentialing, provider enrollment, or background/verification specialist experience required. High level of energy to work in a fast paced environment often including time deadlines, frequent interruptions, multiple demands and multi-tasking. Working knowledge of State and Federal law relating to due process and provisions of the Health Insurance Portability and Accountability Act of 1996 and all applicable standards.

Additional Information

Organization: Henry Ford Jackson Hospital
Department: Medical Staff Affairs
Shift: Day Job
Union Code: Not Applicable

Additional Details

This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.

Overview

Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services – from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford’s care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation’s most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at henryford.com/careers.

Benefits

The health and overall well-being of our team members is our priority. That’s why we offer support in the various components of our team’s well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits.

Equal Employment Opportunity/Affirmative Action Employer

Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is

committed to the hiring, advancement and fair treatment of all individuals without regard to

race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,

weight, marital status, family status, gender identity, sexual orientation, and genetic information,

or any other protected status in accordance with applicable federal and state laws.

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Credentialing Specialist - Medical Staff Affairs - Days

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Equal Employment Opportunity/Affirmative Action Employer

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