Job Description

  • Job LocationsUS-FL-Fort Lauderdale
    Posted Date1 week ago(1 week ago)
  • Overview & Benefits

    The Credentialing Specialist is responsible for data entering, gathering, and primary source verification of healthcare practitioner information, including in-depth, detailed, or challenging research of information. Primary methods of researching information include phone, fax, e-mail, and letters.

    Responsibilities



    • Perform primary (e.g., hospitals, licensing boards, etc.) and secondary source verifications of perspective providers' credentials with special emphasis on provider issues relating to malpractice claims, privileging, criminal concerns, license anomalies and discrepancies in education

    • Responsible for gathering and verifying physician information, compiling required documents, researching necessary information and verifying medical licenses

    • Scrutinize provider applications and resumes for consistency and accuracy

    • Compiles documents, researches and verifies provider backgrounds by contacting hospitals, licensing boards, medical schools, etc.

    • Contacts or interviews provider peer references over the phone about the providers clinical performance skills

    • Acts as a liaison between the medical board and the provider when applying for a license, obtaining updates and reporting progress

    • Acts as a liaison between the hospital medical staff office and the provider when applying for hospital privileges, obtaining updates and reporting progress

    • Assists Client Representatives/Provider Representatives in responding to new inquiries and/or questions from potential clients/doctors

    Qualifications


    • Bachelors degree is required. A combination of education and experience will be considered

    • A minimum of 3 years of credentialing or equivalent work experience is required

    • Demonstrate effective written communication skills

    • Detail oriented with ability to recognize vital information from verification documents

    • Ability to prioritize well and meet overlapping deadlines

    • Demonstrate problem-solving, critical thinking, and deductive reasoning skills

    • Ability to consistently maintain quality and production expectations

    Application Instructions

    Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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