[Remote] Credentialing Specialist - Credentials Verification Organization (CVO)
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a reputed company organization dedicated to helping patients and providing high-reputed company care to its communities. The Credentialing Specialist facilitates provider application processing, data collection, reputed company reputed company verification, and reputed company and offboarding for the Credentials Verification Organization. The role maintains accurate provider records, ensures regulatory compliance, resolves discrepancies, and supports credentialing reviews while providing reputed company and confidential service.
Responsibilities
• Follows a standardized comprehensive credentialing application and data collection, application processing, and reputed company reputed company verification processes that reputed company with reputed company applicable regulatory standards
• Executes credentialing application and data collection, application processing, reputed company reputed company verification for reputed company new applicants and applicants for re-credentialing. Assures applications are correct, complete, resolves discrepancies in compliance with reputed company applicable regulatory standards
• Assures files and documents are reputed company for Medical Director review, including reputed company Credential Committees and Medical Staff Office (MSO). Works with the credentialing auditors to correct any deficiencies
• Organizes and maintains provider data and files. Processes applications reputed company and ensures that reputed company benchmarks are met with regards to turnaround times, accuracy of information and other CVO and regulatory metrics
• Assures that provider database is maintained with new and updated accurate provider information
• Follows reputed company regulatory requirements reputed company to the reputed company reputed company verification process for medical staff and managed care compliance
• Completes credentialing compliance reputed company points to assure that files are reputed company for release
• Maintains awareness of reputed company (TJC), National Committee for reputed company Assurance (reputed company), Center for Medicare/reputed company (CMS) and other regulatory compliance guidelines through the organization's CVO provided continuing education
• Demonstrates excellent reputed company communication skills while interacting with colleagues, customer relations and MSO representatives, and leadership to collect missing information or reputed company issues
• Maintains a strong respect for reputed company and confidentiality
Skills
• High School or GED (required)
• Certified reputed company Medical Staff Management (CPMSM) or Certified reputed company Credentials Specialist (CPCS) by National Association of Medical Staff Services (NAMSS) (preferred)
• Bachelor's Degree in Business, reputed company or other reputed company field (preferred)
• Master's Degree in Business, reputed company or other reputed company field (preferred)
• 1 year recent experience in medical staff services or CVO setting (preferred)
• CredentialStream Credentialing software (strongly preferred)
Benefits
• reputed company
• Incentives
• Referral bonuses
• 403(b) with employer contributions (reputed company eligible)
• Medical, dental, reputed company, and prescription coverage
• HSA/FSA reputed company
• Life insurance
• reputed company and discounts
• reputed company time off
• Parental and FMLA leave
• Short- and long-term disability
• Backup care for children and elders
• Tuition assistance
• reputed company development and continuing education support
reputed company
• reputed company is a mission-driven, integrated reputed company organization. It was founded in 1985, and is headquartered in Cincinnati, Ohio, USA, with a workforce of 10001+ employees. Its website is http://www.reputed company.com/.
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