Credentialing Specialist, Verity, A HealthStream Company, San Diego, CA
Posted on January 11th, 2018
Company information
Verity, A HealthStream Company and its VerityCVO team deliver certified provider verification services that support hospitals, health systems, group practices, managed care organizations and more than 20 provider types nationwide. Formerly known as CredentialsOnLine, VerityCVO provides support, maintenance and consulting services to clients. Enabled by leading technology, we are a proven CVO partner. We help organizations improve efficiency and accelerate their credentialing process while ensuring quality and accuracy.
Position Summary
Verifies and processes credentialing applications for healthcare organizations in accordance with the client’s verification requirements; audits and closes credentialing application files. Maintains a high degree of accuracy and integrity and meets goals for timeliness.
Duration
Full-time
Responsibilities
• Reviews provider applications for completeness according to client criteria.
• Ensures that all required credentialing verification and data collection elements are received.
• Contacts and communicates to verification sources and clients for needed information.
• Identifies possible adverse issues that require additional investigation and evaluation; validates discrepancies and ensures appropriate follow-up.
• Inputs credentialing data into the database from provider applications and other source documents.
Requirements
• Associates degree preferred in health information management or related field; OR 3 to 4 years post high school experience in healthcare related environment.
• Relevant credentialing experience.
• CPCS or CPMSM certified or eligible to take the certification exam.
• Familiar with healthcare regulatory agencies standards: NCQA, JC, AAAHC, URAC and CMS; and how to apply them.
• Experience with credentialing software, preferably EchoCredentialing.
Skills
• Knowledge and understanding of the credentialing process.
• Strong commitment to excellence and attention to detail.
• Problem solver with solid analytical skills.
• Exceptional time-management skills and the ability to manage multiple tasks with minimal supervision.
• Strong prioritization skills with the ability to adapt to change.
• Maintain and establish effective working relationships with clients, providers and team members.
Application Process
Send your resume to pam.butler@healthstream.com
Please reference job tilte in the subject line and ensure your contact name and e-mail are provided
About Verity, A HealthStream Company
Verity, a HealthStream Company, delivers enterprise-class solutions to transform the healthcare provider experience for healthcare organizations and providers. We currently serve over 2,400 hospitals and 1,000 medical groups in the US. Verity resulted from the merging of Echo and Morrisey, representing over 75 years of industry experience, becoming the leading credentialing, enrollment, and privileging companies in the United States. HealthStream, (NASDAQ: HSTM), based in Nashville, TN, is our parent company, supporting us through innovation, investment, and the development of market-leading solutions. Verity has over 200 employees spanning headquarters in Boulder, CO and satellite offices in San Diego, CA, Brentwood, TN, and Chicago, IL. For more information, visit www.verityhealthstream.com