Job Description
St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
The Verification Specialist is responsible for the verification of information submitted by a Physician or an Advanced Practitioner applying for Medical Staff privileges at St. Luke's University Health Network facilities. The Specialist ensures that compiled data is in in compliance with all regulatory and accrediting requirements. Ensures that all information for Medical Staff appointment is complete and accurate. Prepares and submits completed information for Medical Staff approval.
JOB DUTIES AND RESPONSIBILITIES:
Performs activities related to the Network credential verification process for initial, temporary and reappointment applications for Physicians and Advanced Practitioners.
Verifies credentials of providers are in compliance with regulatory and accrediting requirements.
Collaborates with Medical Staff and leadership to ensure credentialing and processing standards are met. Reaches out to Medical Staff as necessary for timely completion of credentialing information.
Conducts data analysis of assigned credentials files and documents ensuring an accurate and current practitioner database utilizing the Credentialing software.
Ensures accurate and timely verification of provider credentials and privileges according to established policies and procedures.
Posts accurate credentialing information on the Physician Web as documentation is completed for Allied Professional Staff (APS) and Credentialing Committees approval.
Develops and maintains a collaborative agreement for each advanced practitioner.
Accurately enters provider information into the Credentialing System
Monitors when new providers are added to a physician group practice, and that provider is added to the corresponding collaborative/supervising agreement and sent to the appropriate state department.
Documents, tracks and resolves provider issues.
PHYSICAL AND SENSORY REQUIREMENTS:
Sitting for up to eight (8) hours a day, three (3) hours at a time, including extensive use of computer terminal and telephone. Standing and walking as necessary. Pushing and pulling file carts, moving of hands as it relates to computer work and filing. Occasional stoops and bends, squats, kneeling and reaching above the shoulder level. Hearing as it relates to normal and telephone conversation. Seeing as it relates to general, near and far vision.
EDUCATION:
High School Education
TRAINING AND EXPERIENCE:
Experience with personal computers and Microsoft Office is required. Strong customer service skills. Excellent verbal and written communication skills. Detail and service oriented.
Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!
St. Luke's University Health Network is an Equal Opportunity Employer.
Numbers & Facts
| Location | Bethlehem, PA |
| Industry | Healthcare Services |
| Company Size | 5,000 to 9,999 employees |
About Company
St. Luke's University Health Network is a regional network of hospitals, physicians and other related organizations providing care primarily in Lehigh, Northampton, Monroe, Carbon, Schuylkill, Bucks, Montgomery and Berks counties in Pennsylvania and Warren County in New Jersey.
The Network provides services at more than 150 sites. St. Luke's University Health Network is comprised of six hospital sites. The Network includes:
- More than 80 owned physician-practice sites
- 300 employed primary care/specialist physicians
- Various outpatient testing and service facilities
- Home health
- Hospice services (inpatient and outpatient)
- Largest ambulance provider in Bucks County and second largest in Lehigh County
- Other related organizations
- 57,500+ annual admissions
- 195,000 annual emergency room visits
- 1,325 physicians on the Medical Staff (96 percent board-certified)
- 8,600+ employees
- More than 1,350 volunteers
Areas of exceptional medical expertise include:
- Level 1 Adult Trauma Center: fully accredited by Pennsylvania Trauma Systems Foundation; 2,400+ annual trauma cases; St. Luke's 1.75 percent mortality rate represents top decile performance, significantly better than peer group as measured by National Trauma Data Bank of the American College of Surgeons; aeromedical transport services
- Oncology: first and only cancer program in Pennsylvania to receive American College of Surgeons' highest quality recognition for three consecutive years; only Pennsylvania program to receive award in 2010; region's only fellowship-trained surgical oncologists; advanced programs for melanoma (internationally recognized melanoma investigator), lung, breast, prostate, gynecologic and gastrointestinal cancers and tumors of the brain and spine
- Cardiology and Cardiovascular Surgery: multiple-year recipient of highest rating for cardiac bypass surgery, represents top decile performance achieved by only 10 percent of U.S. hospitals (Society for Thoracic Surgery); region's first Joint Commission certified Heart Failure Program; comprehensive surgical services excluding heart transplants
- Neuroscience: accredited Stroke Center; additional Centers of Excellence include: Balance Center, Headache Center, Memory Disorders Center, Multiple Sclerosis Center, Sleep Disorders Center
- Orthopaedics: advanced expertise in total joint replacement and reconstruction, computer-assisted minimally invasive surgery, primary and reconstructive surgery of the spine, sports injuries, diseases and conditions of the hand and elbow, traumatic injuries
- Women's/Children's Health: high-risk pregnancy; the region’s busiest obstetrical service; two neonatal intensive care units; pediatric specialty care provided by St. Christopher's Hospital for Children.
- Robotic/Minimally Invasive Surgery: one of the nation's most experienced robotic surgical teams
- Radiology: designated international General Electric Healthcare Show Site for imaging technology; designated Breast Imaging Center of Excellence by American College of Radiology
- Bariatric Surgery: designated Center of Excellence by American Society for Metabolic and Bariatric Surgery and Surgical Review Corporation
St. Luke's offers an exceptional benefit plan for employees. Our values are reflected in all we do for patients, each other and the community:
Pride - We take pride in our accomplishments and in our organization.
Caring - We show consideration for others and their feelings. We treat others as we want to be treated.
Respect - We recognize the value, diversity and importance of each other, those we serve and the organization.
Accountability - We are responsible to make decisions and solve problems in a timely and effective manner.
Flexibility - We adapt to the changing needs and expectations of those we serve.
Teamwork - We work together to improve quality.
The mission of St. Luke's University Health Network is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
Skills
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