How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.
Various (United States of America)
Coordinates and administers the enrollment process for medical providers on behalf of practice plan and AU Health System, ensuring that all enrollment and credentialing processes and procedures are completed in accordance to applicable regulatory and policy requirements. Identifies provider enrollment issues with the external Provider Enrollment vendor and the internal Provider Enrollment team and utilizes a variety of proprietary and external tools in order to research and resolve.
Coordinates the acquisition and receipt of all enrollment documentation from new and existing providers; provides follow-up and problem resolution as needed. Coordinates the processing, distribution, and management of all hospital credentialing and Medical Associates enrollment documents for providers. Acts as primary point of contact for all internal and external constituencies in all day-to-day administrative matters associated with the credentialing/enrollment process; troubleshoots and resolves problems and issues as they arise. Cross trains with other team members to have a general understanding of Provider Enrollment denial management. Develops and maintains a comprehensive credentialing database and prepares reports, rosters and summaries as appropriate; manages physician profiles. Develops and implements systems and procedures to ensure that all enrollment processes are completed in accordance to relevant regulation, policies, and standards. Maintains and ensures strict confidentiality of files and databases. Performs other duties as assigned Complies with all Wellstar Health System policies, standards of work, and code of conduct.
All certifications are required upon hire unless otherwise stated.
Minimum 1 year Enrollment; credentialing/privileging providers; or revenue cycle in a healthcare setting. Required or Minimum 4 years MD Staff relations; credentialing/privileging providers; provider enrollment; revenue cycle. Preferred
Excellent verbal and written communication skills. Skilled in the use of personal computers, related software applications, MS Excel and MS Word. Strong interpersonal, organizational, and critical thinking skills. High Experience with MD Staff- Preferred Low
Join us and discover the support to do more meaningful work—and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.
At Wellstar Health System, our mission is to enhance the health and well-being of every person we serve. Nationally ranked and locally recognized for our high-quality care, inclusive culture and world-class doctors and caregivers, Wellstar is one of the largest, most integrated healthcare systems in Georgia.
Our specialists and primary care providers work in a multidisciplinary environment with nearly 30,000 diverse team members throughout our hospitals, health parks and medical offices. Communities can also access our outpatient centers, a pediatric center, nursing centers, and hospice and home care services. We’re proud to be home to the second-largest Emergency Department in the country, as well as being the only system in Georgia operating multiple trauma centers.
We’re also known for our exceptional work culture, featured on the Great Places to Work®, Fortune 100 Best Companies to Work For® and the Seramount Best Company for Multicultural Women® lists. We continue to attract the best and the brightest in healthcare.
At a time when our industry is changing rapidly, Wellstar remains committed to exceeding expectations from our patients and team members, while transforming healthcare delivery. We stand behind our values to serve with compassion, pursue excellence and honor every voice.
