Credentialing Specialist

2 weeks ago


Atlanta, United States CRH Anesthesia Full time

Position Overview:

CRH Anesthesia, a Well Health Technologies company is a fast-growing company providing anesthesia support to several locations in 20 states. We are looking for an experienced and methodical individual to join our Credentialing Department as a Credentialing Specialist. This position is on a hybrid schedule, Mondays, Tuesdays & Thursdays in office / Wednesdays and Fridays remote.


The Credentialing Specialist will report to the Manager of Credentialing and will work to coordinate initial provider staffing privileges as well as provider re-appointments for multiple Ambulatory Surgery Centers in several states.


Essential Duties and Responsibilities:

  • Reviews and processes applications for provider privileges
  • Focuses on follow-up, follow through and achievement of stringent deadlines
  • Reviews and analyzes provider credentialing file for completeness, accuracy, issues, and changes
  • Responds to provider inquiries received by letter, phone, or internal departments
  • Administers re-credentialing of Physicians and CRNAs
  • Complies with HIPAA regulations
  • Assists with other special projects and process redesign initiatives as requested


Qualifications:

  • High School Diploma required; Bachelor’s Degree preferred
  • Minimum 2+ years’ experience in provider credentialing
  • Previous experience with provider credentialing/enrollment software (i.e. VerityStream)
  • Proficient in Microsoft Office suite
  • Highly effective communicator with the ability to engage multiple stakeholders in various organizations
  • Must be able to work well under pressure in a very fast-paced, high-volume environment
  • Possess strong problem solving, critical thinking and analytical skills


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