JOB SUMMARY
This position is responsible for all aspects of credentialing and re-credentialing of hospital, all physician practices, and providers for Saint Francis Healthcare System. Responsible for ensuring providers are credentialed, appointed, and privileged with health plans accurately and timely. Maintains data in credentialing database and online systems. Ensure timely renewal of licenses, certification, and validations. This position reports directly to the Medical Staff Coordinator but will have a matrixed reporting relationship to revenue cycle leadership.JOB DETAILS AND REQUIREMENTS
Type: Full-time, 80 hours per 2 week pay period
Typical hours: Monday-Friday, 8:00a-4:30p
Education:
- High school graduate/equivalent- required
Certification & Licensures:
- Certified Provider Credentialing Specialist- preferred
Experience:
- Two to five years of payer credentialing experience with strong understanding and knowledge of Medicare, Medicaid, commercial payers, hospital & rural health specific requirements- preferred
- Excellent oral and written communication skills to communicate with diverse customer groups, including but not limited to, physicians, practice management and staff, vendors, and payers.
- Strong problem solving skills and attention to detail.
- Exceptional organization skills with intensely accurate follow through.
- Ability to work independently with minimal supervision.
- Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization.
Knowledge & Skills:
- Compiles and maintains current and accurate data for hospital and providers.
- Compiles hospital and provider credentialing and re-credentialing applications; monitors applications and follows-up as needed.
- Maintains copies of current state licenses, DEA certificates, and other required credentialing documents.
- Maintains knowledge of current health plans and agency requirements for credentialing inclusive of Rural Health, Medicare, Medicaid and broad range of commercial payers.
- Sets up and maintains information in online credentialing databases and systems.
- Tracks license and certification expirations for hospital and all providers to ensure timely renewal, revalidation and re-credentialing.
- Ensures information remains current with all health plans, agencies and other entities.
- Works with insurance representatives to maintain accurate provider information in health plan directories.
- Performs other duties as assigned.
ADDITIONAL INFORMATION
Why Work at Saint Francis?
Saint Francis Healthcare System began in 1875 when three courageous Franciscan Sisters answered a call to care for those in need. What started as a 12‑bed hospital has grown into the region’s leading healthcare system—recognized nationally for exceptional quality, safety, and patient experience.
Today, Saint Francis serves more than 715,000 people across five states. With a 306‑bed Medical Center, nearly 3,000 team members, and over 300 providers, Saint Francis is not only the largest healthcare system between St. Louis and Memphis—it’s a powerful economic anchor for the communities it serves.
You’ll find more than 50 specialties, the region’s only Level III Emergency and Trauma Center, and southeast Missouri’s first Level III NICU. The system’s employed physician group, Saint Francis Medical Partners, supports more than 40 outreach clinics and 70% of the area’s primary care providers.
A Mission That Matters
At Saint Francis, you’re not just doing a job - you’re part of a Catholic healing ministry rooted in compassion, dignity, and service. Every action is inspired by a commitment to honor human life and care for every person who walks through the doors.
Mission
To provide a ministry of healing, wellness, quality, and love inspired by our faith in Jesus Christ.
Vision
To be a leading Catholic healthcare system that celebrates and protects the gift of life by providing exceptional patient outcomes in quality, safety, access and value.
Values You Can Feel Every Day
Integrity: Doing what’s right, even when no one is watching
Stewardship: Managing resources wisely for the future
Faith: Believing in a purpose greater than ourselves
Hope: Lifting up those who feel discouraged
Joy: Serving others with a grateful, happy heart
Compassion: Seeing others through Christ's eyes
Excellence: Always striving to be the best
Dignity: Respecting human life from beginning to end
If You’re Looking to Make a True Impact…
Saint Francis offers a workplace where your work has purpose, your team feels like family, and your contributions support a mission that has been changing lives for more than 150 years.
Total Rewards
Our most important asset is our colleagues. That's why Saint Francis Healthcare System offers a comprehensive benefits program to meet all your needs. Colleagues working at least 24 hours per week will have access to our Total Rewards package as outlined below.
Comprehensive and affordable health coverage including medical, prescription, dental and vision - available on the first of the month after hire date
Saint Francis Medical Services Discount
Earned Time Off (ETO) based on relevant years of work history. ETO combines vacation, sick, holidays, and personal days into one balance to allow for flexibility
Retirement benefits including SFHS immediate matching
Education Assistance benefits up to $5,000 per calendar year for one year of service after graduation
Other benefits including: Benefit Support through Health Advocate, Employee Assistance Program, Flexible Spending Accounts, Identity Theft Protection, Pet Insurance, Earned Wage Access
To learn more about our Total Rewards package and eligibility, visit www.sfmc.net/careers/benefits/.
Saint Francis Healthcare System provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, or genetics. In addition to federal law requirements, Saint Francis Healthcare System complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
In compliance with the ADA Amendments Act (ADAAA) should you have a disability and would like to request an accommodation in order to apply for a currently open position with Saint Francis Healthcare System, please call 573-331-5152 or email us at careers@sfmc.net.