Credentialist II - Military veterans preferred

2022-07-28
Candidate Resources, Inc. (www.criw.com)
Medical/Healthcare

/yr

  full-time   employee


Euless
Texas
United States

escription
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 FSMB by enhancing the organization's vitality and through services provided to state and osteopathic medical boards.



FSMB is an EO/Affirmative Action Employer Females/Minorities/Veterans/Disability.



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 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


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
Training will begin January 31, 2022.



Requirements
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.



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.