Credentialing Verification Specialist

Overview

Be inspired. Be rewarded. Belong. At Emory Healthcare.

At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:

• Comprehensive health benefits that start day 1

• Student Loan Repayment Assistance & Reimbursement Programs

• Family-focused benefits

• Wellness incentives

• Ongoing mentorship, development, and leadership programs

• And more

Description

JOB DESCRIPTION:

• Under general supervision, coordinates activities related to credentialing of Medical Staff and Allied Health professionals.

• Serves as a liaison between the various hospital departments and the medical staff.

• Provides accurate verification of practitioner files for initial appointment and recredentialing.

• Reviews applications and follows up to obtain any missing information to ensure applications are complete.

• Maintains current copy of Medical Staff Bylaws, Rules and Regulations.

• Prepares monthly schedule of medical staff and departmental meetings.

• Prepare agendas, attends, transcribes and maintains minutes for medical staff meetings.

• Enters arid retrieves data from computer using CAS/EHIS database management software.

• Produces reports and maintains current Medical Staff roster.

• Documents how to access computer files.

• Makes requests of and reports to the National Data Bank as required.

• Coordinates the credentialing process for appointments/reappointments in compliance with the hospital Bylaws.

• Coordinates with Q.A.

• Coordinates all preparation activity for J.C.A.H.O. surveys regarding Medical Staff and/or Credentialing area.

• Performs related responsibilities as required.

MINIMUM QUALIFICATIONS:

• A high school diploma or equivalent and one year of credentialing experience in an acute care hospital, managed care organization and/or credentialing verification organization.

• A bachelor's degree may be substituted in lieu of experience.

• A basic knowledge of accreditation standards and state and federal credentialing related regulations and a working knowledge of medical terminology are preferred.

• Must have experience with word processing and database management computer applications.

PHYSICAL REQUIREMENTS (MediumMax 25lbs): up to 25 lbs, 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of the workday (frequently); 01-10 lbs, 67-100% of the workday (constantly); Lifting 25 lbs max; Carrying of objects up to 25 lbs; Occasional to frequent standing & walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks. ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock, Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation, Shift work, Travel may be required. Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.

Additional Details

Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare’s Human Resources at [email protected]. Please note that one week's advance notice is preferred.