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Credentialing Specialist - Data Integrity Greenway Plaza

Houston Galleria, TX

Posted: 08/07/2019 Industry: Accounting & Financial Job Number: 144781.10

Data integrity Credentialing Specialist position available in Greenway Plaza area.

Position is temp to hire and salary is $80-90k.

Overview:

This individual will be responsible for maintaining and monitoring the reliability of provider data in the credentialing database.

Requirement:

  1. The ideal candidate will have an aptitude for computer-based programs and a proven record of high productivity with minimal error rate.
  2. The candidate must be able to meet time-sensitive deadlines to correct errors and validate that provider information is accurate.
  3. The work environment is fast pacedand requires detailed work and precision in a rapidly-changing healthcare environment.
  4. Associates Degree in data/information management or related health care field preferred along with 2-3 years of experience with delegated physician credentialing.
  5. Experience with Windows Operating System, CRM, Cactus, Onbase,
  6. Microsoft Applications also preferred.

Roles and Responsibilities:

Assist in developing, implementing, and documenting processes to ensure integrity of data during software migration

Assist in establishing, reviewing, and implementing quality controls

Perform primary source verification to validate and update provider data

Maintain high quality, timely and accurate database of physician credentialing information

Assist in the credentialing process by entering/logging/scanning information into credentialing system for initial credentialing, recredentialing, and information updates

Prepare credentialing information for Client's contracted health plans, including report creation, roster reconciliation, document review and credentialing file preparation

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