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Job Field: Legal Jobs
Location: SALT LAKE CITY, UT
Job Type: Full Time

JOB SUMMARY:

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Credentialing Specialist II #145202 needed for a Salt Lake area employer. The CVO (Credentials Verification Organization) provides client specific credentialing services to internal divisions and contracted external clients. This at-will position is responsible for data entering, gathering, and primary source verification of healthcare practitioner information, which includes in-depth, detailed, or challenging research of information. Primary methods of researching information include phone, fax, e-mail, and letters. Adheres to company mission and values. Job Duties Essential - * Writes up and data enters assigned files into credentialing database. * Mails, e-mails, faxes, and calls for verification requests to the appropriate primary sources (e.g., hospitals, licensing boards, etc.) to gather and verify healthcare practitioner information. * Researches verification information via the Internet and other electronic databases and enters into database. * Contacts practitioners/primary sources/clients for missing information identified during the credentialing process. * Enters researched and/or corrected information into the credentialing database. * Reviews and organizes files for accuracy and completeness in preparation for auditing. * Delivers/ships audited files to internal and external clients that can be reviewed by a client?s credentials committee. * Monitors and reports on the status of credentialing files at file discussion meetings. * Participates in Team Building functions. * Audits assigned credentialing files for accuracy and completeness. * Completes additional projects as assigned by management. Non-essential- * Completes other clerical duties as assigned. Requirements Skills: Required - * Have clear and concise phone and verbal communication skills * Demonstrate effective written communication skills * Have computer, typing, and data entry skills: includes MS Word, Excel and database * Detail oriented with ability to recognize vital information from verification documents * Possess proof-reading skills sufficient for auditing 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 Experience Education: Required - * High school diploma or equivalent * Previous customer service and/or phone experience * Previous office and clerical experience * Experience with databases, data entry, Microsoft Word and Excel Preferred - * Familiarity with the medical field and/or medical terminology Abilities: Required - * Ability to learn and use credentialing database and other related databases * Ability to obtain information via the Internet * Ability to follow instructions and use time productively * Ability to work individually as well as in a highly functional team environment * Ability to effectively manage customer service issues and maintain client base * Ability to consistently maintain quality and production expectations

KEY REQUIREMENTS:

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