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Credentialing Specialist

2 months ago

Atlanta Georgia, United States Emory Healthcare Full time
Job Summary

We are seeking a highly organized and detail-oriented Credentialing Verification Specialist to join our team at Emory Healthcare. As a Credentialing Verification Specialist, you will play a critical role in ensuring the accuracy and completeness of medical staff credentials, while maintaining compliance with regulatory requirements.

Key Responsibilities
  • Coordinate activities related to credentialing of Medical Staff and Allied Health professionals
  • Serve as a liaison between hospital departments and medical staff
  • Maintain current copy of Medical Staff Bylaws, Rules and Regulations
  • Enter and retrieve data from computer using CAS/EHIS database management software
  • Makes requests of and reports to the National Data Bank as required
  • Coordinate the credentialing process for appointments/reappointments in compliance with hospital Bylaws
  • Coordinate with Quality Assurance (Q.A.)
  • Coordinate all preparation activity for J.C.A.H.O. surveys regarding Medical Staff and/or Credentialing area
Requirements
  • 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
About Emory Healthcare

Emory Healthcare 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.

Equal Employment Opportunity

Emory Healthcare 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. Emory Healthcare respects, values, and celebrates the unique perspectives and backgrounds of all individuals.