- Perform primary source verifications of perspective providers' credentials with special emphasis on provider issues relating to malpractice claims, privileging, criminal concerns, license anomalies and discrepancies in education.
- Responsible for verifying medical licenses, criminal background checks, and other queries as needed.
- Reviews reports for disciplinary actions and follows up accordingly.
- Analyze provider applications and curriculum vitae/resumes for consistency and accuracy.
- Contacts provider peer references over the phone, email, or fax about the providers clinical performance skills.
- Contacts the provider to obtain documents and/or explanations for malpractice claims, gaps in work history/medical education, etc...
- Creates urgency with hospitals, universities, peer references, etc. through follow up calls to expedite verification completion.
- Works with the sales consultants to address and resolve incomplete information and/or documentation before submitting the file to the Risk Dept.
- Works closely with the Risk Team to ensure that the credentialing file meets the guidelines that are set in place.
- Completes work on time; proactively communicating progress and issues to relevant parties.
- Adhere to weekly and monthly KPI's by prioritizing and meeting deadlines while maintaining quality and production expectations.
- Contributes to a positive company and team culture while building camaraderie and inspiring teamwork and trust.
- Performs other duties as assigned.
- Bachelor's degree (Required)
- Proficient at Microsoft products (Excel, Power Point, Word, and Outlook)
- Experience in Salesforce and MD-Staff (Highly preferred)
- Highly organized in managing one's schedule, duties, workflows, and responsibilities.
- Ability to organize and prioritize work.
- Attention to detail is a must.
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Credentialing Specialist
2 days ago
Hayes Locums Fort Lauderdale, United StatesOverview & Benefits: · The Credentialing Specialist is responsible for data entering, gathering, and primary source verification of healthcare practitioner information, including in-depth, detailed, or challenging research of information. Primary methods of researching informatio ...
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Credentialing Specialist
3 weeks ago
GiaCare Fort Lauderdale, United StatesJOB SUMMARY: · This is a highly interactive position that requires the ability to work independently and with a team in a time sensitive environment. This position requires an employee that is organized and capable of juggling multiple projects at one time. The Credentialing Sp ...
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Credentials Specialist
3 weeks ago
Broward Health Fort Lauderdale, United StatesBroward Health Corporate Spectrum · Shift: Shift 1 · FTE: · Summary: · Coordinates the initial credentialing, privileging, and annual/bi-annual reappointment of the medical staff and allied health professional to ensure that only qualified practitioners provide care in the hospi ...
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Credentialing Specialist
1 week ago
Exact Billing Solutions Lauderdale Lakes, United States**Credentialing Specialist—Exact Billing Solutions** · **Lauderdale Lakes, FL** · **About Exact Billing Solutions** · Exact Billing Solutions is a unique team of medical billing professionals specializing in the substance use disorder, mental health, and autism fields of healthca ...
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VITAS Healthcare Miramar, United States Full timePayer Relations Credentialing and Contract Support is responsible for prioritizing and cataloguing all incoming payer credentialing requests to ensure timely and efficient turn around. Maintains new and existing payer credentialing data in related computer systems. Assists Payer ...
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Internal Credentialing Coordinator
3 weeks ago
Hayes Locums Fort Lauderdale, United StatesThe Internal Credentialing Coordinator will be part of our Internal Credentialing department working closely with the Credentialing Specialists. The Internal Credentialing Team provides white glove customer service to our physicians, advanced practitioners, and internal staff by ...
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Tree Care Manager
2 weeks ago
Yellowstone Landscape Fort Lauderdale, United States Full timePosting Details · Job Details · Description · Do you love the outdoors? Spending time marveling at nature's beauty surrounded by neatly trimmed hedges and healthy trees? If you answered yes, then Yellowstone Landscape could be the place for you As an Arbor Department Manager y ...
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Licensing Specialist
15 hours ago
MedLead Fort Lauderdale, United StatesJob Description · Emerald Licensing and Credentialing, an established company assisting healthcare providers such as MDs, Dos, NPs and PAs in getting them licensed, is now seeking an experienced Licensing Specialist who will be open to travel all over the U.S. to meet with Docto ...
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Internal Credentialing Coordinator
1 day ago
Hayes Locums Fort Lauderdale, United StatesThe Internal Credentialing Coordinator will be part of our Internal Credentialing department working closely with the Credentialing Specialists. The Internal Credentialing Team provides white glove customer service to our physicians, advanced practitioners, and internal staff by ...
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Peer Support Specialist
1 week ago
Broward Health Fort Lauderdale, United StatesBroward Health Medical Center · Shift: Shift 1 · FTE: · Summary: · Provides peer support for behavioral health or substance abuse programs. Provides a variety of services to healthcare professionals and clients and assists in the attainment of short-term and long-term goals. Inc ...
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Broward Health Medical Center Fort Lauderdale, FL, United StatesRegistered Nurse, Residency Support Specialist-RN-BHC-#7708 · Broward Health Corporate ISC · Shift: Shift 1 · FTE: · Summary: · Provides strategic direction, supervision, and daily oversight of the clinical coach and resident interactions as a component of the nurse residency pr ...
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Broward Health Fort Lauderdale, United StatesBroward Health Medical Center · FTE: · Summary: · Provides peer support for behavioral health or substance abuse programs. Provides a variety of services to healthcare professionals and clients and assists in the attainment of short-term and long-term goals. Increases the utiliz ...
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Department Of The Treasury Fort Lauderdale, United StatesDutiesWHAT ARE THE ENTERPRISE CASE MANAGEMENT OFFICE (ECMO), ONLINE SERVICES (OLS), OFFICE OF PROFESSIONAL RESPONSIBILITY (OPR), RETURN PREPARER OFFICE (RPO), TAXPAYER ADVOCATE SERVICE (TAS), TAXPAYER EXPERIENCE OFFICE (TXO), TAXPAYER SERVICE (TS), AND WHISTLEBLOWER (WO) DIVISION ...
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Manager, Business Tax Services
1 week ago
KPMG Fort Lauderdale, United StatesAt KPMG, you can become an integral part of a dynamic team at one of the world's top tax firms. Enjoy a collaborative, future-forward culture that empowers your success. Work with KPMG's extensive network of specialists & enjoy access to our Ignition Centers, where deep industry ...
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Preschool Food Specialist
2 weeks ago
Learning Care Group Fort Lauderdale, United StatesPreschool Food Specialist · Share by Email · Share on LinkedIn · Share on Twitter · ) · Share on Facebook · Apply · ) · + · Brand: Tutor Time Learning Centers · + · Location: · 851 SW 78th Ave · Plantation, · FL · + · Requisition ID: · + · Date Posted: 5/6/2024 ...
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Travel Nurse RN
1 week ago
LanceSoft Fort Lauderdale, United StatesJob Description · LanceSoft is seeking a travel nurse RN CVOR for a travel nursing job in Weston, Florida. · Job Description & RequirementsSpecialty: CVOR · Discipline: RN · Start Date: 07/08/2024 · Duration: 13 weeks · 36 hours per week · Shift: 12 hours, days · Employment Type: ...
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Local Contract CVOR Technologist
2 weeks ago
LanceSoft Weston, FL, United StatesLanceSoft is seeking a local contract CVOR Technologist for a local contract job in Weston, Florida. · Job Description & Requirements · Specialty: CVOR Technologist · Discipline: Allied Health Professional · Start Date: 07/08/2024 · Duration: 13 weeks · 36 hours per week · Shift: ...
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Broward Health Medical Center Fort Lauderdale, FL, United StatesRegistered Nurse, Residency Support Specialist-RN-BHC-#7708 · Broward Health Corporate ISC · Shift: Shift 1 · FTE: · Summary: · Provides strategic direction, supervision, and daily oversight of the clinical coach and resident interactions as a component of the nurse residency pr ...
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Preschool Food Specialist
1 week ago
Learning Care Group Fort Lauderdale, United StatesShare by Email Share on LinkedIn Share on Twitter ) Share on Facebook · Apply ) · Location: · 851 SW 78th Ave · Plantation, · FL · Requisition ID: · Date Posted: 5/6/2024 · Join a strong community where all we do is care-for the children and families we serve every day, a ...
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Travel Nurse RN
2 weeks ago
LanceSoft Weston, FL, United StatesLanceSoft is seeking a travel nurse RN CVOR for a travel nursing job in Weston, Florida. · Job Description & Requirements · Specialty: CVOR · Discipline: RN · Start Date: 07/07/2024 · Duration: 13 weeks · 36 hours per week · Shift: 12 hours, days · Employment Type: Travel · Perks ...
Internal Credentialing Specialist - Fort Lauderdale, United States - Hayes Locums
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Internal Credentialing Specialist professionals in Fort Lauderdale
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Alberto Perugini
Innovative International Sales & Marketing Leader
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Frederick Leonard
Tech support guru.