Credentialing Verification Specialist

Atlanta, GA, USA

Full-TimeDepends on ExperienceMid-LevelBachelors

Job Description

Are you a detail-oriented individual with a passion for ensuring accuracy and compliance? Emory Healthcare is seeking a motivated Credentialing Verification Specialist to join our team. In this role, you will play a critical role in ensuring that our healthcare providers are properly credentialed and compliant with all necessary regulations. Your attention to detail and ability to work efficiently in a fast-paced environment will make you an invaluable asset to our organization. If you are looking for a challenging and rewarding career in the healthcare industry, we encourage you to apply for this exciting opportunity.

Verify and maintain accurate and up-to-date credentials for all healthcare providers within the organization.
Review and process credentialing applications and documents in a timely manner.
Conduct thorough background checks and verification of education, training, licenses, and certifications for healthcare providers.
Monitor and track expiration dates for credentials and ensure timely renewal.
Collaborate with various departments to gather and organize necessary documents for credentialing.
Ensure compliance with all regulatory standards and guidelines related to credentialing and privileging processes.
Communicate with healthcare providers and external agencies to obtain necessary information and resolve any discrepancies.
Maintain detailed and organized records of all credentialing activities.
Identify and address any potential credentialing issues or concerns.
Stay up-to-date with industry changes and updates related to credentialing and compliance.
Assist with developing and implementing processes and procedures to improve the credentialing process.
Participate in team meetings and provide recommendations for process improvements.
Maintain confidentiality of all sensitive information and adhere to HIPAA guidelines.
Provide excellent customer service to healthcare providers and other stakeholders.
Adhere to deadlines and meet productivity goals to ensure efficient and effective credentialing processes.

Where is this job?

This job is located at Atlanta, GA, USA

Job Qualifications

Strong Knowledge Of Credentialing And Privileging Processes: The Ideal Candidate Should Possess A Thorough Understanding Of Credentialing And Privileging Procedures, Including The Application Process, Verification Of Credentials, And Maintenance Of Records.
Attention To Detail: As A Credentialing Verification Specialist, It Is Essential To Have A Keen Eye For Detail And Accuracy. The Candidate Must Be Able To Review And Analyze Large Volumes Of Data To Ensure All Information Is Complete And Accurate.
Effective Communication Skills: This Position Involves Communicating With Internal Staff, Healthcare Providers, And External Agencies. The Candidate Should Have Excellent Written And Verbal Communication Skills To Effectively Convey Information And Resolve Any Issues That May Arise.
Familiarity With Credentialing Software: Emory Healthcare Utilizes Credentialing Software To Manage And Track Provider Credentials. The Ideal Candidate Should Have Experience Using Similar Software And Be Comfortable Navigating And Inputting Data Into The System.
Organizational And Time-Management Skills: As A Credentialing Verification Specialist, The Candidate Will Be Responsible For Managing Multiple Tasks And Deadlines Simultaneously. Strong Organizational And Time-Management Skills Are Essential To Ensure All Tasks Are Completed Accurately And In A Timely Manner.

Required Skills

Data Entry
Communication
Time Management
Attention to detail
Problem Solving
Compliance
Medical Terminology
Teamwork
Computer
Organization
Multi-tasking
Credential Verification

Soft Skills

Communication
Conflict Resolution
Customer Service
Emotional Intelligence
Leadership
Time management
Attention to detail
Teamwork
Adaptability
Problem-Solving

Compensation

According to JobzMall, the average salary range for a Credentialing Verification Specialist in Atlanta, GA, USA is $35,000 to $55,000 per year. However, this can vary depending on factors such as experience, education, and the specific company or organization hiring for the role.

Additional Information

Emory Healthcare is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

Required LanguagesEnglish

Job PostedFebruary 13th, 2024

Apply BeforeMay 22nd, 2025

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