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Credentialing Specialist - Pediatric Administration

UAB Medicine
Birmingham, AL Full Time
POSTED ON 4/19/2025
AVAILABLE BEFORE 5/18/2025
Position Description

Schedule: Monday-Friday Day Shift

Location: Avondale Business Center

Benefits include: 100% tuition assistance, wellness initiatives, generous paid time off, paid parental leave, Public Service Loan Forgiveness Program eligible employer, plus more. In addition to our many benefits and perks, UAB Medicine provides a variety of resources to support employees both personally and professionally.

Under general supervision, to provide the payer enrollment for all new UAB Department of Pediatrics providers including physicians, nurse practitioners, physician’s assistants, allied health professionals, psychologists, fellows, and moonlighters. To perform revalidation according to payer requests. To maintain and update payer enrollment files including current licensure and certification, DOP Database, CAQH, and Symplyr. To oversee credentialing processes, assisting with training and guidance as needed. To coordinate efficient and effective processes within the Credentialing Team. To communicate regularly with payers, entities, and other involved stakeholders.

Position Requirements

EDUCATION AND EXPERIENCE:

High school diploma or equivalent and either three (3) years of progressive administrative office experience or one (1) year of payer enrollment experience required. Experience with ACCESS, Symplyr, CAQH or other pay credentialing applications preferred. Bachelor's degree may substitute for work experience.

License, Certification And/Or Registration

Required: None

TRAITS & SKILLS: Must be self-directed / self-motivated; must have good communication and interpersonal skills. Must be able to: (1) perform a variety of duties often changing from one task to another of a different nature without loss of efficiency or composure; (2) accept responsibility for the direction, control and planning of an one’s own work; (3) work independently; (4) recognize the rights and responsibilities of patient confidentiality; (5) convey empathy and compassion to those experiencing pain, physical or emotional distress and/or grief; (6) relate to others in a manner which creates a sense of teamwork and cooperation; (7) communicate effectively with people from every socioeconomic, cultural and educational background; (8) exhibit flexibility and cope effectively in an ever-changing, fast-paced healthcare environment; (9) perform effectively when confronted with emergency, critical, unusual or dangerous situations; (10) demonstrate the quality work ethic of doing the right thing the right way; (11) maintain a customer focus and strive to satisfy the customer's perceived needs; 12) Well organized and detail oriented, as well as having knowledge of proper grammar and business etiquette; 13) Document work and communications; 14) Willing to ask questions and request direction; 15) Able to secure confidential information; 16) Able to create and maintain credentialing manuals.

UA Health Services Foundation (UAHSF) is proud to be an AA/EOE/M/F/Vet/Disabled employer.

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