Credentialist

Houston, TX

Posted: 11/25/2019 Employment Type: Contractor Industry: Human Resources, Health Care Job Number: J2Z5YC70PFLD1048D29

Job Description

Pulse Staffing is searching for a credentialist for our office located in the Galleria area. This is a full time opportunity. Mon-Fri 8a-5p

Duties and Responsibilities

  1. Leads, coordinates, and monitors the review and analysis of practitioner applications and accompanying documents, ensuring applicant eligibility.
  2. Conducts thorough background investigation, research and primary source verification of all components of the application file.
  3. Identifies issues that require additional investigation and evaluation, validates discrepancies and ensures appropriate follow up.
  4. Processes requests for privileges, ensuring compliance with criteria outlined in clinical privilege descriptions.
  5. Responds to inquiries from other healthcare organizations, interfaces with internal and external customers on day-to-day credentialing and privileging issues as they arise.
  6. Assists with managed care delegated credentialing audits; conducts internal file audits.
  7. Performs miscellaneous job-related duties as assigned.

Job Requirements

Credentialing Requirement:

  • Must meet Pulse's hiring criteria
  • Must be able to work in a fast past environment
  • Detailed oriented and organizational skills required
  • Must have 1 + years of credentialing experience

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