Verification Specialist, Full-time, Day Shift, Bethlehem

St. Luke’s University Health Network•Bethlehem, PA

2d•Onsite

About The Position

The Verification Specialist is responsible for the verification of information submitted by a Physician or an Advanced Practitioner applying for Medical Staff privileges at St. Luke’s University Health Network facilities. The Specialist ensures that compiled data is in in compliance with all regulatory and accrediting requirements. Ensures that all information for Medical Staff appointment is complete and accurate. Prepares and submits completed information for Medical Staff approval.

Requirements

Experience with personal computers and Microsoft Office is required.
Strong customer service skills.
Excellent verbal and written communication skills.
Detail and service oriented.

Responsibilities

Performs activities related to the Network credential verification process for initial, temporary and reappointment applications for Physicians and Advanced Practitioners.
Verifies credentials of providers are in compliance with regulatory and accrediting requirements.
Collaborates with Medical Staff and leadership to ensure credentialing and processing standards are met.
Reaches out to Medical Staff as necessary for timely completion of credentialing information.
Conducts data analysis of assigned credentials files and documents ensuring an accurate and current practitioner database utilizing the Credentialing software.
Ensures accurate and timely verification of provider credentials and privileges according to established policies and procedures.
Posts accurate credentialing information on the Physician Web as documentation is completed for Allied Professional Staff (APS) and Credentialing Committees approval.
Develops and maintains a collaborative agreement for each advanced practitioner.
Accurately enters provider information into the Credentialing System.
Monitors when new providers are added to a physician group practice, and that provider is added to the corresponding collaborative/supervising agreement and sent to the appropriate state department.
Documents, tracks and resolves provider issues.