Verification Specialist, Full-Time, Day Shift, Bethlehem

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

About The Position

The Verification Specialist verifies information submitted by physicians and advanced practitioners applying for Medical Staff privileges at St. Luke’s University Health Network facilities. The role ensures compiled data complies with regulatory and accrediting requirements and that appointment information is complete and accurate. The Specialist prepares and submits completed information for Medical Staff approval.

Requirements

High school education.
Experience with personal computers and Microsoft Office.
Strong customer service skills.
Excellent verbal and written communication skills.
Detail-oriented and service-oriented.

Responsibilities

Perform credential verification activities for initial, temporary, and reappointment applications for physicians and advanced practitioners.
Verify provider credentials for compliance with regulatory and accrediting requirements.
Collaborate with Medical Staff and leadership to meet credentialing and processing standards, and contact Medical Staff as needed to complete credentialing information promptly.
Analyze assigned credential files and documents to maintain an accurate, current practitioner database using credentialing software.
Ensure timely and accurate verification of provider credentials and privileges according to established policies and procedures.
Post accurate credentialing information on the Physician Web as documentation is completed for Allied Professional Staff and Credentialing Committee approval.
Develop and maintain a collaborative agreement for each advanced practitioner.
Enter provider information accurately into the Credentialing System.
Monitor additions of new providers to physician group practices, ensure each is added to the corresponding collaborative or supervising agreement, and send the agreement to the appropriate state department.
Document, track, and resolve provider issues.