Credentialing Verification Specialist

Emory Healthcare•Atlanta, GA

51d

About The Position

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.

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

Nice To Haves

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.

Responsibilities

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.