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Medical Credentialist

Euless, TX 76039 | TempToFT

Post Date: 02/12/2018 Job ID: 86264 Specialties: Administrative/Clerical Pay Rate: $16.00/hour

CornerStone Staffing is partnered with a non-profit Credentialing organization.

CornerStone Staffing is currently recruiting for the following position:

Job Title: Medical Credentialist (Contract to Hire)

Location: Euless, TX

Pay: 16.00 an hour

Schedule:
Monday - Friday, 8am - 5pm (Flexible for OT on Saturday's during peak season)

General Responsibilities:

The Credentialist II 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. This position contributes to the overall success of the company by enhancing the organization s vitality and through services provided to state and osteopathic medical boards.

Essential Job Functions:

  • 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 organization

  • 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


Other Specialized Duties as needed may be included but not limited to:

  • 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

Professional Background Required:

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. Strong knowledge of FCVS profile processing.

*** Customer likes candidates with a strong administrative background or experience in the mortgage, or medical field. Candidates with longevity on their resume are a plus!


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.

Please email your resume to daliah@cornerstonestaffing.com for immediate consideration
***Please put "Credentialist II" in the subject line of your email


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