Barbour Orthopaedics
Credentialing Specialist
Barbour Orthopaedics, Atlanta, Georgia, United States, 30383
This is a fully in-office role in our Chamblee location.
Job Responsibilities:Process initial credentialing and re-credentialing applications, including verifying healthcare provider information and licensing, conducting background checks, and ensuring that all regulatory requirements are met.Maintain accurate physician and provider privileging files and ensure that all required approvals are received before granting clinical privileges.Coordinate with medical staff personnel to ensure that contract providers and allied health professionals are properly licensed and credentialed.Collect information from the National Practitioner Data Bank (NPDB), the applicant and their malpractice insurer, and other relevant sourcesIdentify discrepancies in information and conduct follow-upsCommunicate with healthcare providers and external agencies regarding licensing and credentialing requirements and ensure ongoing compliance with regulatory guidelines.Requirements:
Bachelor's degree in healthcare administration, business or related field preferred2+ years of credentialing experience with hospital medical staffExperience with state, federal, and accreditation entity regulations and requirements related to credentialing and privilegingKnowledge of medical credentialing and privileging procedures, standards and softwareNAMSS Certification as a Certified Professional Medical Services Manager (CPMSM) or Certified Provider Credentials Specialist (CPCS) preferredComfortable working in a fast-paced healthcare environment and be able to prioritize tasksStrong organizational and analytical skills, with attention to detailExcellent verbal and written communication skillsProficient with Microsoft OfficeAbility to prioritize tasks and work independentlyAbility to focus for extended periods Job
Type: Full-Time - In office role
Job Responsibilities:Process initial credentialing and re-credentialing applications, including verifying healthcare provider information and licensing, conducting background checks, and ensuring that all regulatory requirements are met.Maintain accurate physician and provider privileging files and ensure that all required approvals are received before granting clinical privileges.Coordinate with medical staff personnel to ensure that contract providers and allied health professionals are properly licensed and credentialed.Collect information from the National Practitioner Data Bank (NPDB), the applicant and their malpractice insurer, and other relevant sourcesIdentify discrepancies in information and conduct follow-upsCommunicate with healthcare providers and external agencies regarding licensing and credentialing requirements and ensure ongoing compliance with regulatory guidelines.Requirements:
Bachelor's degree in healthcare administration, business or related field preferred2+ years of credentialing experience with hospital medical staffExperience with state, federal, and accreditation entity regulations and requirements related to credentialing and privilegingKnowledge of medical credentialing and privileging procedures, standards and softwareNAMSS Certification as a Certified Professional Medical Services Manager (CPMSM) or Certified Provider Credentials Specialist (CPCS) preferredComfortable working in a fast-paced healthcare environment and be able to prioritize tasksStrong organizational and analytical skills, with attention to detailExcellent verbal and written communication skillsProficient with Microsoft OfficeAbility to prioritize tasks and work independentlyAbility to focus for extended periods Job
Type: Full-Time - In office role