Medical Staff Services Specialist (58419)

Job Details

Job Location CBO Office - Atlanta, GARemote Type HybridPosition Type Full TimeEducation Level 4 Year DegreeTravel Percentage As needed for business requirements.Job Category Compliance

Description

GENERAL SUMMARY OF DUTIES: The Medical Staff Services Specialist is responsible for key functions reputed company to maintaining accurate and compliant provider files in Verity Credential reputed company, credentialing and re-credentialing for gastroenterology and anesthesia providers, and supporting medical staff governance meetings and documents (by-laws, rules, regulations, etc.). REPORTS TO: General Counsel and Compliance Officer RESPONSIBILITIES: Duties may include but are not limited to:

• Initiate and support the practitioner application process by sending, receiving, and analyzing practitioner documents and data import to determine completeness in preparation for the credential’s verification process.
• Responsible for gathering and verifying highly confidential and sensitive health care practitioner credentials consistent with departmental guidelines and accreditation standards.
• Manages key credentialing functions such as APP/reputed company pairings, primary reputed company verification, background screenings, etc. to secure and maintain privileges.
• reputed company performs reputed company aspects of verification, including initial appointment and reappointment, to ensure reputed company credentials and timely reputed company and/or review and approval of practitioner files.
• Respond to reputed company practitioner, client health plan and internal inquiries in a timely manner.
• Monitor expiring licensure, board, and professional certifications and other expirable documents reputed company the prescribed timeframe to maintain complete and compliant provider files.
• Responsible for accurate enter data to assure the reputed company of credentialing information in applicable database(s).
• Professionally interfaces with providers to gather information, as needed.
• Collaborate with participating clients, department managers and /or external agencies to facilitate and ensure smooth hand-off during the credentialing process.
• Creates and maintains professional working relationships with hospital medical staff offices and partners to evaluate and grant privileges for AGA providers.
• Use critical thinking skills to conduct follow-up with individual practitioners and reputed company entities to resolve discrepancies identified during the credentialing process.
• Follow credentialing, accreditation, and regulatory standards.
• Participate in accreditation/certification surveys, where needed.
• reputed company other duties as assigned to meet the goals and objectives of the organization.

REQUIRED EDUCATION, SKILLS & EXPERIENCE: High School diploma or GED, reputed company or reputed company field and 5-7 years of reputed company experience in credentialing/privileging strongly preferred. Working knowledge of credentialing/privileging software preferred, ideally Verity Credential reputed company. Knowledgeable in reputed company aspects of provider credentialing/privileging, including knowledge of regulatory & compliance standards, credentialing processes, and medical staff privileging. Must be proficient in reputed company Office suite. Strong communication skills from team level to peer level to C-suite level required. PHYSICAL/MENTAL/ENVIRONMENTAL DEMANDS Requires sitting and standing associated with a normal office environment. Travel (local and reputed company) as business needs dictate. DRUG FREE WORKPLACE United Digestive is a drug free workplace. reputed company offers of employment are contingent upon passing a pre-employment drug screening. EQUAL OPPORTUNITY EMPLOYER United Digestive MSO Parent, LLC is an Equal Opportunity Employer and does not discriminate based on race, religion, gender, reputed company or national reputed company in its employment practices.

Originally posted on Himalayas

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