Credentialing Specialist

Job description

Job Title: Credentialing Specialist
Location: Augusta University
Regular/Temporary: Regular
Full/Part Time: Full-Time
Job ID: 228701

Minimum Requirements Associate's degree in business field from an accredited college or university or 10 years of progressively responsible office support experience or equivalent combination. Previous experience credentialing dental or medical providers.Knowledge, Skills, & Abilities
    Strong organizational skills, excellent verbal and written skills, excellent interpersonal communication skills, detailed orientedProficient with Microsoft Excel and Word and database managementData research skillsAbility to maintain confidentiality
Preferred Qualifications Bachelor’s degree from an accredited college or university and progressively responsible office support experience. Certified Provider Credentialing Specialist (CPCS) certification or commitment to pursue certification. Educational background and experience in business office or dental or medical practice. Membership in Georgia Association of Medical Staff Services (GAMSS) and/or National Association of Medical Staff Services (NAMSS).Responsibilities The duties include, but are not limited to: The incumbent of this position is responsible for development, managing and monitoring processes and procedures that support the credentialing, re-credentialing and other practitioner information processes, including primarily source verification and compliance with JCAHO standards, state and federal regulations, and internal policies and procedures, for the Dental College of Georgia at Augusta University (DCG) and AU Surgery Center (AUSC) to meet the requirements of the multiple third-party carriers. Ensures that all expirables are reviewed, obtained and managed on a regular basis according to the rules and policies for more than 75 providers. Acts as a key liaison and point person responsible for the gathering, verification and evaluation of confidential healthcare provider credentials, as well as contacting and following up with third-party carriers regarding applications. Maintains database of licensure, certification and insurance certificates, DEA certificates, CPR certificates and other supporting credentialing requirements. Obtain provider background reports from various websites, including the Office of Inspector General, the National Practitioner Data Bank and the Georgia Board of Dentistry. Other duties as assigned.Shift/Salary Shift: Days/M-F Pay Grade: 13Salary: $16.19/hr Salary to be commensurate with qualifications of selected candidate within the established range (generally minimum-midpoint) of the position Recruitment Period: 6/9/2021 - Until FilledConditions of Employment All candidates are required to successfully pass a Background Check review prior to starting with Augusta University.Compliance with AU Confidentiality Policies:
  • All employees are responsible for ensuring the confidentiality, availability, and integrity of sensitive [patient, student, employee, financial, business, etc.] information by exercising sound judgment and adhering to cybersecurity and privacy policies during the course of their employment and beyond.
Equal Employment Opportunity Augusta University/ AU Health is proud to be an equal opportunity employer, welcoming applicants from underrepresented groups, individuals with disabilities and veterans.Other Information This position is also responsible for promoting a customer friendly environment and providing superior service to our patients, students, faculty, and employees. “Augusta University is a patient-and family-centered care institution, where employees partner everyday with patients and families for success.”Augusta University is a tobacco free environment and the use of any tobacco products on any part of the campus, both inside and outside, is strictly prohibited.




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Job No:
Posted: 6/10/2021
Application Due: 8/9/2021
Work Type: Full Time