Credentialing Specialist Job at Barbour Orthopaedics, Atlanta, GA

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  • Barbour Orthopaedics
  • Atlanta, GA

Job Description

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 sources Identify discrepancies in information and conduct follow-ups Communicate 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 preferred 2+ years of credentialing experience with hospital medical staff Experience with state, federal, and accreditation entity regulations and requirements related to credentialing and privileging Knowledge of medical credentialing and privileging procedures, standards and software NAMSS Certification as a Certified Professional Medical Services Manager (CPMSM) or Certified Provider Credentials Specialist (CPCS) preferred Comfortable working in a fast-paced healthcare environment and be able to prioritize tasks Strong organizational and analytical skills, with attention to detail Excellent verbal and written communication skills Proficient with Microsoft Office Ability to prioritize tasks and work independently Ability to focus for extended periods Job Type: Full-Time - In office role Barbour Orthopaedics

Job Tags

Full time, Contract work,

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