Summit Spine & Joint Centers
Provider Credentialing Specialist
Summit Spine & Joint Centers, Lawrenceville, Georgia, United States, 30243
Company Overview
Summit Spine and Joint Centers (SSJC) is on track to become the largest comprehensive spine and joint care provider in the state of Georgia and 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, ensuring that contracting and credentialing is completed in a timely manner for all physicians. This full‑time, benefited position reports to the Chief Administrative Officer and is located at the company’s administrative office in Lawrenceville, GA.
Responsibilities
Ensure compliance with all regulatory and accrediting institutions.
Monitor staff and provider credentials and licenses.
Follow up with insurance carriers and provider networks regarding credentialing/contracting status.
Communicate with physicians on licensure and document renewal expirations.
Complete contracting recredentialing applications.
Maintain CAQH profiles for physicians based on Medicare regulations.
Keep records on licenses, credentials, and insurance contracts.
Release information to agencies and members of the public as required by law.
Work comfortably in a growing, dynamic organization and navigate change.
Maintain a safe, clean work environment.
Perform additional duties as assigned.
Skills & Abilities
Self‑motivated and able to thrive in a fast‑paced, team environment.
Ability to multi‑task, prioritize, and manage time effectively.
Excellent written and verbal communication skills.
Personable and confident while providing exceptional patient care.
Education & Experience
Minimum 1‑year previous experience in credentialing preferred.
Certified Provider Credentialing Specialist (CPCS) through the National Association Medical Staff Services (NAMSS) preferred.
Experience using eClinicalWorks preferred.
Bachelor’s Degree preferred, or equivalent combination of education, training, and experience.
Seniority Level Entry level
Employment Type Full‑time
Job Function Health Care Provider
Industries Medical Practices
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Job Description Summary The Credentialing Specialist shall be responsible for coordinating the credentialing of Medical Staff and Allied Health professionals, ensuring that contracting and credentialing is completed in a timely manner for all physicians. This full‑time, benefited position reports to the Chief Administrative Officer and is located at the company’s administrative office in Lawrenceville, GA.
Responsibilities
Ensure compliance with all regulatory and accrediting institutions.
Monitor staff and provider credentials and licenses.
Follow up with insurance carriers and provider networks regarding credentialing/contracting status.
Communicate with physicians on licensure and document renewal expirations.
Complete contracting recredentialing applications.
Maintain CAQH profiles for physicians based on Medicare regulations.
Keep records on licenses, credentials, and insurance contracts.
Release information to agencies and members of the public as required by law.
Work comfortably in a growing, dynamic organization and navigate change.
Maintain a safe, clean work environment.
Perform additional duties as assigned.
Skills & Abilities
Self‑motivated and able to thrive in a fast‑paced, team environment.
Ability to multi‑task, prioritize, and manage time effectively.
Excellent written and verbal communication skills.
Personable and confident while providing exceptional patient care.
Education & Experience
Minimum 1‑year previous experience in credentialing preferred.
Certified Provider Credentialing Specialist (CPCS) through the National Association Medical Staff Services (NAMSS) preferred.
Experience using eClinicalWorks preferred.
Bachelor’s Degree preferred, or equivalent combination of education, training, and experience.
Seniority Level Entry level
Employment Type Full‑time
Job Function Health Care Provider
Industries Medical Practices
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