Credentialing Verification Specialist

Emory Healthcare•Tucker, GA

2d•$24 - $29

About The Position

Under general supervision, the Credentialing Verification Specialist coordinates credentialing activities for Medical Staff and Allied Health professionals and serves as a liaison between hospital departments and the medical staff. The position verifies practitioner files for initial appointments and recredentialing, reviews applications and follows up to obtain missing information, and coordinates appointments and reappointments in compliance with hospital Bylaws. The role maintains current copies of Medical Staff Bylaws, Rules and Regulations; prepares monthly schedules of medical staff and departmental meetings; and prepares agendas, attends meetings, transcribes and maintains minutes. The specialist enters and retrieves information using CAS/EHIS database management software, produces reports, maintains the Medical Staff roster, documents how to access computer files, and makes required requests of and reports to the National Data Bank. The position also coordinates with Q.A. and prepares for J.C.A.H.O. surveys concerning the Medical Staff and/or Credentialing area, and performs related responsibilities as required. Physical requirements include lifting and carrying objects up to 25 pounds, standing and walking occasionally to frequently, sitting occasionally, and close eye work such as computer use, typing, reading and writing. Work-environment factors and exposures vary by assigned work area and tasks. Listed exposures include blood-borne pathogens, bio-hazardous waste, chemicals and fumes, communicable diseases, electrical shock, floor surfaces, temperature variation, indoor and outdoor conditions, latex, lighting, patient-care or handling injuries, radiation, shift work, and possible travel. Personal protective equipment, including respirators, may be used as required by the work area and tasks.

Requirements

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 for the experience.
Experience with word processing and database management computer applications.

Nice To Haves

Basic knowledge of accreditation standards and state and federal credentialing-related regulations.
Working knowledge of medical terminology.

Responsibilities

Coordinate activities related to credentialing Medical Staff and Allied Health professionals.
Serve as a liaison between hospital departments and the medical staff.
Verify practitioner files for initial appointments and recredentialing.
Review applications and follow up to obtain missing information so applications are complete.
Maintain current copies of Medical Staff Bylaws, Rules and Regulations.
Prepare monthly schedules of medical staff and departmental meetings.
Prepare agendas, attend meetings, transcribe and maintain minutes.
Enter and retrieve data using CAS/EHIS database management software.
Produce reports and maintain the current Medical Staff roster.
Document how to access computer files.
Make requests of and submit reports to the National Data Bank as required.
Coordinate credentialing for appointments and reappointments in compliance with hospital Bylaws.
Coordinate with Q.A.
Coordinate preparation activities for J.C.A.H.O. surveys regarding the Medical Staff and/or Credentialing area.
Perform related responsibilities as required.