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Credentialing Coordinator

Grady Health System

This is a Full-time position in Atlanta, GA posted March 23, 2021.

Grady Health System offers many career paths. Whether you have many years of experience or are in the early stages on your career you can find a rewarding position at Grady!



SUMMARY

 

Gather and analyze primary sources of verification of the credentialing and re-credentialing of applicants in accordance with the standards of all applicable accrediting and regulatory agencies (JCAHO, HCFA, other) as well as the Grady Health System Medical Staff Bylaws and Rules and Regulations and Grady Health System policies and procedures. Incumbent will perform the initial and re-credentialing of Grady employed providers with all managed care plans and third-party payors by enrolling them through individual or delegated processes in accordance with standards of the Grady Health System policies and procedures, Medical Staff Bylaws and Grady Managed Care contracts.

QUALIFICATIONS 

  • High School diploma or equivalent required
  • Three years of credentialing experience in a hospital or managed care setting and/or medical staff services or three (3) years minimum in progressively responsible position in a complex business/administrative office setting, which includes working with faculty, medical staff or other professional groups
  • Working knowledge of State and Federal regulatory and Joint Commission and NCQA requirements regarding credentialing
  • CPCS required within one year of meeting qualifications to take certification exam, or time period specified by the Director
  • Certified Credentialing Specialist Certification or actively seeking is preferred


Equal Opportunity Employer-Minorities/Females/Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity.

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