Job Details

ID #4979973
State Tennessee
City Brentwood
Full-time
Salary USD TBD TBD
Source HighPoint Health System
Showed 2020-10-06
Date 2020-09-23
Deadline 2020-11-22
Category Et cetera
Create resume

Credentialing Support Services Specialist

Tennessee, Brentwood 00000 Brentwood USA

Vacancy expired!

Credentialing Support Services Specialist-7410-4309LifePoint Health Support Center

Description

TheCredentialing Specialist is responsible for data entering, gathering, andprimary source verification of healthcare practitioner information, includingin-depth, detailed, or challenging research of information.

Primary methods ofresearching information include phone, fax, e-mail, internet, and letters. This position needs to be knowledgeable in health care, betask oriented, and work with other team members to accurately and timelyprocess documentation as required.

ESSENTIAL RESPONSIBILITIES :

Performprimary (e.g., hospitals, licensing boards, etc.) and secondary sourceverifications of perspective providers' credentials with special emphasis onprovider issues relating to malpractice claims, privileging, criminal concerns,license anomalies and discrepancies in education

Responsiblefor gathering and verifying physician information, compiling requireddocuments, researching necessary information and verifying medical licenses

Scrutinize provider applications and resumes forconsistency and accuracy

Compilesdocuments, researches and verifies provider backgrounds by contactinghospitals, licensing boards, medical schools, etc.

Contactsor interviews provider peer references over the phone about the providersclinical performance skills.

A minimum of 0-2 years’ experience in data entry, officeadministration management or medical financial experience. 0-2 years’experience in credentialing / licensure verification / checks.

Requires excellentanalytical skills, flexibility and ability to perform detailed follow throughand prioritization.

Competencies : To perform the jobsuccessfully, an individual will demonstrate the following competencies :

Analytical - Collects and researches data; Uses intuition and experience tocompliment data. Possesses a solid attention to detail to ensure accuracy ofinformation

Customer Service - Responds promptly to customer needs in aprofessional manner

Interpersonal Skills - Maintains confidentiality of all patientinformation and company documents

Oral Communication - Speaks clearly and persuasively in positiveor negative situations; listens and gets clarification; responds well toquestions.

Written Communication - Writes clearly and informatively; Edits workfor spelling and grammar; Presents numerical data effectively;

Able to read andinterpret written information

Professionalism - Approaches others in a tactful manner; Treatsothers with respect and consideration regardless of their status or position.

Maintains positive business relationships.

Quality - Demonstrates accuracy and thoroughness

Quantity - Meets performance and / or productivity standards

Adaptability - Adapts to changes in the work environment

Attendance / Punctuality - Is consistently at work and on time

Qualifications

Qualifications : Associate's degree is required. Acombination of education and experience will be considered.

A minimum of 3 years of credentialing orequivalent work experience is required

Have clear and concise phone and verbal communicationskills ability to write legibly

Demonstrate problem-solving, critical thinking, anddeductive reasoning skills

Ability to consistently maintain quality and productionexpectations

Demonstrate effective writtencommunication skills

Have strong computer, typing, and dataentry skills : includes MS Word, Excel and web-basedapplications, internet, and database programs

Detail oriented with ability to recognizevital information from verification documents

Possess proof-reading skills sufficientfor auditing documents

Ability to prioritize well and meetoverlapping deadlines

Vacancy expired!

Subscribe Report job

Related jobs