Senior Physician Credentialing Specialist

Overview

Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.

Responsibilities

The Senior Physician Credentialing Specialist provides the infrastructure management in support of the credentialing and re-credentialing processes for the Managed Care department through analysis, research, documentation, communication and system maintenance. Demonstrates competency in all aspects of the enrollment and credentialing processes of providers and is instrumental in their successful application to participate with over 25 affiliated health care plans/ products, as well as Medicare and Medicaid. Mentors and trains other staff members.

Qualifications

KNOWLEDGE SKILLS AND ABILITIES/LICENSE OR CERTIFICATION REQUIRED:

High School diploma or GED preferred or 3-5 years of work experience.

Advanced skills with Microsoft applications which may include Cactus, Outlook, Word, Excel, PowerPoint or Access and other web-based applications. May produce complex documents, perform analysis and maintain databases.

Knowledge of Medicare, Medicaid and health plan credentialing, recredentialing and enrollment process; licensure requirements and regulations of various agencies such as the board of Registration in Medicine, American Board of Medical Specialties and Individual Specialty Boards preferred normally acquired through related work experience.

Work Hours:

8:00AM-4:30PM