[Hiring] Credentialing Specialist @Wellstar Health System

Role Description

The Credentialing Specialist assists in the planning, developing, organizing and processing the operations for the credentialing appointments/reappointments and terminations of the Medical Staff Office in order to contribute to meeting the mission and goals of the Department and Hospital. This role ensures all credential/quality files are created and maintained accurately and confidentially.

• Updates/maintains MD Staff database.
• Runs monthly reports.
• Ensures all credential/quality files are created and maintained accurately and confidentially.
• Updates/maintains privilege forms/forms in database.
• Completes online verifications on initial and reappointments.
• Completes and meets deadlines for credentialing process including creating appointment/reappointment letters.
• Mails letters with a copy of privileges to the practitioners, ensuring copy of letters and privileges are in the Credentials files.
• Creates credential files for new appointments.
• Files reappointment information for files that have been processed through the Credentials Committee, turn and enter practitioners’ information in the database after Board approval.
• Assist the Supervisors Medical Staff Office, Chief Medical Officer, Director CMO Business Operations and Administrative Assistant to the CMO, as necessary.
• Assists Supervisors Medical Staff Office with Annual Medical Staff Meeting.
• Assists with delegated annual reviews by managed care companies.
• Manages office expenditures including all office/supply orders for the department and the supply budget in adherence with rules and regulations.
• Assists physicians and other credentialed health care professionals to adhere to and interpret the Medical Staff Bylaws, Rules and Regulations, and Credentialing Policy.

Qualifications

• High school diploma or GED.

Requirements

• 2 years or more of experience in credentialing/privileging providers, or provider enrollment, or revenue cycle in a healthcare setting.
• Microsoft Word, Excel and PowerPoint skills.

Benefits

• Support to do more meaningful work.
• Enjoy a more rewarding life.
• Connect with the most integrated health system in Georgia.