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Emory Healthcare/Emory University Credentialing Verification Specialist in Decatur, Georgia

Description

JOB DESCRIPTION: Under general supervision, coordinates activities related to credentialing of Medical Staff and Allied Health professionals. Serves as a liaison between the various hospital departments and the medical staff. Provides accurate verification of practitioner files for initial appointment and recredentialing. Reviews applications and follows up to obtain any missing information to ensure applications are complete. Maintains current copy of Medical Staff Bylaws, Rules and Regulations. Prepares monthly schedule of medical staff and departmental meetings. Prepare agendas, attends, transcribes and maintains minutes for medical staff meetings. Enters arid retrieves data from computer using CAS/EHIS database management software. Produces reports and maintains current Medical Staff roster. Documents how to access computer files. Makes requests of and reports to the National Data Bank as required. Coordinates the credentialing process for appointments/reappointments in compliance with the hospital Bylaws. Coordinates with Q.A. Coordinates all preparation activity for J.C.A.H.O. surveys regarding Medical Staff and/or Credentialing area. Performs related responsibilities as required.

MINIMUM QUALIFICATIONS: A high school diploma or equivalent and one year of credentialing experience in an acute care hospital, managed care organization and/or credentialing verification organization. A bachelor's degree may be substituted in lieu of experience. A basic knowledge of accreditation standards and state and federal credentialing related regulations and a working knowledge of medical terminology are preferred. Must have experience with word processing and database management computer applications.

PHYSICAL REQUIREMENTS (MediumMax 25lbs): up to 25 lbs, 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of the workday (frequently); 01-10 lbs, 67-100% of the workday (constantly); Lifting 25 lbs max; Carrying of objects up to 25 lbs; Occasional to frequent standing & walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks.

ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock, Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation, Shift work, Travel may be required. Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.

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Division Emory Healthcare Inc.

Campus Location Decatur, GA, 30030

Campus Location US-GA-Decatur

Department EHI Medical Staff

Job Type Regular Full-Time

Job Number 67198

Job Category Revenue Cycle & Managed Care

Schedule 8a-4:30p

Standard Hours 40 Hours

Emory Healthcare is an Equal Employment Opportunity employer committed to providing equal opportunity in all of its employment practices and decisions. Emory Healthcare prohibits discrimination, harassment, and retaliation in employment based on race, color, religion, national origin, sex, sexual orientation, gender identity or expression, pregnancy, age (40 and over), disability, citizenship, genetic information, service in the uniformed services, veteran status or any other classification protected by applicable federal, state, or local law.

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