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 information is complete and accurate and complies with regulatory and accrediting requirements, then prepares and submits completed information for Medical Staff approval. The position handles credential verification for initial, temporary, and reappointment applications and maintains accurate provider records using credentialing software.

Requirements

High school education.
Experience using 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 from physicians and advanced practitioners.
Verify that provider credentials comply with regulatory and accrediting requirements.
Collaborate with Medical Staff and leadership to meet credentialing and processing standards.
Contact Medical Staff as needed to ensure timely completion of credentialing information.
Analyze assigned credential files and documents and maintain an accurate, current practitioner database using credentialing software.
Ensure provider credentials and privileges are verified accurately and promptly according to established policies and procedures.
Post completed credentialing information on Physician Web 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 providers to physician group practices and ensure providers are added to the corresponding collaborative or supervising agreement and submitted to the appropriate state department.
Document, track, and resolve provider issues.