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Verification Specialist

Euless, TX

Posted: 06/11/2019 Employment Type: Full Time Industry: Healthcare Job Number: A

The Verification Specialist 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. There are additional specialized duties that may be assigned to this position as noted below. 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
  • Process Medical and Graduate Medical Education documents received
  • 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
  • Use ECFMG EMED software for International Medical Graduate requests
  • Maintain Institution Medical Codes including: Pre-Med, Medical and Graduate Medical Education Table Codes
  • Review Physician Information Report for discrepancies and required actions
  • Review completed profiles
  • Reject profiles if problems are identified
  • Complete reviews for rejected files
  • Generate and review printed profiles
  • Release profile to electronic pick up sites or to Office Services for mailing

 

 

Education: Minimum of Associates Degree or 3-4 years related work experience.

Experience: 3-4 years of office experience including 2+ years credentialing experience, Customer service skills, preferably in a health care or professional association setting. Typing/data entry skills of 45-50 wpm; working knowledge of Windows environment, preferably with Microsoft Office.

Skills: The ideal candidate will possess excellent written, oral, decision-making/problem-solving and analytical skills with the ability to scrutinize and compare documents according to established procedures. In addition, the candidate must be able to prioritize job responsibilities, make judgments with a minimum of supervision and effectively listen and respond to telephone calls from physicians. He or she must also possess excellent interpersonal, organization, and customer service skills with a demonstrated ability to work professionally and productively.

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