Provider Credentialing Specialist

Credentialing SpecialistSummit Spine and Joint Centers (SSJC) is on track to become the largest comprehensive spine and joint care provider in the state of Georgia and other surrounding areas while providing clinical, surgical, and imaging services to our patients. We are seeking qualified individuals to join our team and provide exceptional patient care!Job Description Summary: The Credentialing Specialist shall be responsible for coordinating the credentialing of Medical Staff and Allied Health professionals. They shall ensure that contracting and credentialing is completed in a timely manner for all physicians.This job is a full-time, benefited position at Summit Spine & Joint Centers that reports to the Chief Administrative Officer.

Your assigned location is the Company's administrative office in Lawrenceville, GA.ResponsibilitiesEnsure company and providers maintain compliance with all regulatory and accrediting institutionsMonitor staff and provider credentials and licensesFollow-up with insurance carriers and provider networks regarding credentialing/contracting status for providersCommunicate with physicians on licensure and document renewal expirationsComplete contracting recredentialing applicationMaintain CAQH profiles for physicians based on Medicare regulationsKeep records on licenses, credentials, and insurance contractsRelease information to agencies and members of the public as required by lawComfortable working in a growing, dynamic organization and able to navigate changeMaintain a safe clean work environmentAdditional duties as assigned.The employee must communicate professionally, respectfully, and effectively with patients, visitors, clinicians, coworkers, and vendors, including in busy, demanding, or stressful circumstances.The employee must maintain professional composure and consistently perform assigned duties throughout the scheduled work period; manage routine workplace stressors and feedback without disrupting patient care, patient-facing operations, or coworkers' work; and use established de-escalation and escalation procedures when appropriate.The employee must exercise sound judgment; maintain appropriate workplace boundaries; receive and respond to routine feedback and direction; protect confidential patient and business information; and address patient or workplace concerns through established supervisory and safety procedures. These functions are essential to the position.Skills And AbilitiesSelf-motivated with ability to thrive in a fast-paced, team environmentAbility to multi-task, prioritize and manage time effectivelyExcellent written & verbal communication skillsPersonable and confident while providing exceptional patient care.Education And ExperienceMinimum 1-year previous experience in credentialing preferredCertified Provider Credentialing Specialist (CPCS) through the National Association Medical Staff Services (NAMSS) preferredExperience using eClinicalWorks preferredBachelor's Degree preferred, or equivalent combination of education, training, and experience