HR Credentialing Specialist

Credentialing And Verification Professional

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

Functions as a professional liaison between Northside Hospital and regulatory, accrediting, membership-based organizations, and affiliated educational facilities / institutions in regards to credentialing and credential verification. Accountability for compliance in accordance with accreditation standards and credentialing required by law, regulation or hospital policy. Utilizes a high degree of knowledge and application of department policies, procedures, and operation and actively develops and maintains a working knowledge of the requirements (laws, regulations, policy, and guidelines) related to credentialing and credential verification. Position is characterized by the ability to prioritize and organize multiple assignments.

Primary Duties And Responsibilities

• Responsible for the verification and approval of credentialing documentation for agency and contract staff, licensed independent practitioners, vendors, allied health and nursing students, and volunteers to assure compliance to the standards of accreditation and regulatory agencies, the state and Northside Hospital policy.
• Responsible for the accuracy and integrity of the credentialing database system(s) and related applications; including but not limited to compliance related administration, data entry, reporting and reconciliation tasks.
• Monitors and tracks all reports and communications generated by the credential management system(s) and related applications.
• Performs random and / or scheduled system(s) and file audits of license, registration and certification compliance.
• Conducts regular system(s) and file audits to ensure compliance with Human Resources standards for maintenance of required documentation for employees, agency and contract staff, licensed independent practitioners, vendors, allied health and nursing students, and volunteers.
• Conducts system and file audits of license, renewal and certification compliance.
• Proactively and collaboratively work with NSH staff, leadership, and other entities to resolve issues related to credentialing compliance.
• Assists school / institution and vendor company personnel with orientation to and navigation of the applicable credential management system(s) for credential file upload and review.
• Creates and implements standard operating processes and procedures for verification and credentialing.
• Participates in and coordinates special projects, as assigned.

Qualifications

Required :

Preferred :

Work Hours : 8 am - 5 pm

Weekend Requirements :

No

On-Call Requirements :

No