Love what you do and make a difference in people's lives at CompHealth, a division of CHG Healthcare in Grand Rapids, MI. Join a fast-paced and rewarding environment at CompHealth, where we are known for our unique employee-centric culture, strong core values and providing outstanding customer service.
The Credentialing Specialist is responsible for providing administrative support to sales teams as well as data entering, gathering, and verifying healthcare practitioner information, which includes in-depth or detailed data collection for addition to the sales database. Primary methods of researching information include phone, fax, e-mail, and letters.
- Answer, place, screen, and route telephone calls
- Correspond with hospitals, clinics, and internal departments verbally and in written communications
- Complete clinical references of providers
- Monitor completion of drug tests and background checks
- Monitor QA Evaluations
- Enter Provider Representative comments into database when applicable
- Notify Provider Representatives of positive drug results
- Enter information into credentialing database
- Monitor information for completeness and accuracy as it is being input
- Process files and sends documents to clients
- Complete special requests by client regarding references, state-wide checks, additional drug testing and/or expansion to standard background checks
- Review and organize files for accuracy and completeness in preparation for auditing
- General administrative support
- Monitor and report on the status of credentialing files at file discussion meetings
- Participate in team building functions
- Other duties as assigned by management
- Demonstrate effective phone/verbal and written communication skills
- Computer and data entry skills: includes MS Word and Excel
- Excellent attention to detail
- Ability to Interact, communicate and correspond with professionals and professional organizations
- Be detail oriented with ability to recognize vital information from verification documents
- Ability to prioritize well and meet overlapping deadlines
- Demonstrate problem-solving and critical thinking skills
- Self-motivated and able to work independently with little supervision
- Prioritize tasks and manage time effectively to achieve goals and meet deadlines
- Make quick and accurate judgments
- Use active listening techniques effectively to determine the concerns, needs, and motivations of customers, co-workers, providers, etc.
- Function in team environment
- 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 team quality expectations
- High school education or equivalent work experience
- Familiarity with the medical field and/or medical terminology
- Previous customer service and/or phone experience
- Previous office and clerical experience
- Experience with databases, data entry, Microsoft Word and Excel
Preferred Skills:
- Understanding of Joint Commission certification
- Bachelor's Degree
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