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Medical Credentialist

Euless, TX 76039

Posted: 11/13/2018 Employment Type: TempToFT Specialties: Administrative/Clerical Job Number: 92471 Pay Rate: $16.00/hour

Are you looking for an administrative position that provides excellent training and an opportunity to be apart of a dynamic team? Are you looking for not just a job but a career? We want YOU to join our team!!!! Client interviews start asap!
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 seeking 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.

To Apply for this Job:

Click the Apply Online button at the top of this page, then:

  • If you are currently registered with CornerStone Staffing, click the I have a username and password and want to log in button to add yourself as a candidate to this job.

  • If your are NOT currently registered with CornerStone Staffing, click the I need to register button to complete the application.

Please feel free to APPLY IN PERSON at 9am -11am (Monday-Friday) for Immediate Consideration and ask for Leigh!

CornerStone Staffing Las Colinas

5525 N. MacArthur Blvd, #155

Irving, TX 75038

Our office is located at 5525 N. MacArthur Blvd, Suite 155 inside MacArthur Plaza. MacArthur Plaza is a 9 story glass building located South of Highway 114 on the west side of the street at the intersection of Walnut Hill & N. MacArthur. The building is directly across the street from LA Fitness. There is free visitor parking on the North and South side of the building. Once in the parking lot, you can enter the building from either side, our suite is located directly behind the security desk, suite 155

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