Credentialing Verification Specialist

3 days ago

Atlanta, United States Emory Healthcare Full time

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:
  • 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.
  • Maintains current copy of Medical Staff Bylaws, Rules and Regulations.
  • Enters arid retrieves data from computer using CAS/EHIS database management software.
  • 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.

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.

JOIN OUR TEAM TODAY Emory Healthcare (EHC), part of Emory University (EUV), is the most comprehensive academic health system in Georgia and the first and only in Georgia with a Magnet designated ambulatory practice. We are made up of 11 hospitals-4 Magnet designated, the Emory Clinic, and more than 425 provider locations. The Emory Healthcare Network, established in 2011, is the largest clinically integrated network in Georgia, with more than 3,450 physicians concentrating in 70 different subspecialties.

Additional Details:

Supporting a diverse, equitable and inclusive culture. Emory Healthcare (EHC) is dedicated to providing equal opportunities and access to all individuals regardless of race, color, religion, ethnic or national origin, gender, genetic information, age, disability, sexual orientation, gender identity, gender expression and/or veteran's status. EHC does not discriminate on the basis of any factor stated above or prohibited under applicable law. EHC respects, values, and celebrates the unique perspectives and backgrounds of all individuals. EHC aspires to create an environment of collaboration and true belonging for all our patients and team members. Emory Healthcare (EHC) is committed to achieving a diverse workforce through equal opportunity and nondiscrimination policy in all aspects of employment including recruitment, hiring, promotions, transfers, discipline, terminations, wage and salary administration, benefits, and training.

ACCOMODATIONS: EHC will provide reasonable accommodations to qualified individuals with disabilities upon request. To request this document in an alternate format or to request a reasonable accommodation, please contact the Office of Diversity, Equity, and Inclusion.

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.

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