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Credentialist

Euless, TX | Contract-Hire

Post Date: 06/06/2018 Job ID: A Industry: Other

The Credentialist position is responsible for performing a comprehensive review to determine discrepancies in a credentialing profile prior to sending completed profile to specified State Medical or Osteopathic Board or other designated entity. In addition, this position is responsible for communicating with applicants and/or external organizations about the status of a profile or verification forms. This position will also serve as back-up to the customer service representatives during peak call volumes. 

 

 

 

  • Review new applications
  • Perform necessary data entry
  • Code Medical Education and Graduate Medical Education programs as necessary
  • Communicate with medical professional and/or external organizations
  • Perform follow-up duties for credentialing verification information
  • Interact with other workgroups
  • Perform review of workgroup verifications
  • Move applicant documentation into credentialing profile
  • Create comprehensive board analysis reports
  • Compare source documents to application information for omissions and anomalies and action accordingly
  • Review reports for relevant information which may include metrics and additional analysis 
  • Provide internal/external customer service according to established guidelines
  • Assist with questions for completion of application
  • Additional duties as assigned

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