CVO Specialist - Credentialing Specialist

Hardenbergh Group•Dallas, TX

5d•$40,000 - $45,000•Remote

About The Position

Sentact is seeking to fill a full-time position in our Credentialing Verification Organization (CVO). Our CVO Specialists provide primary source verification (PSV) services for physicians and other non-physician providers to assist our clients in making informed decisions in the privileging process.

Requirements

2+ years’ experience in credentials verification and hospital privileging with a solid understanding of the credentialing and privileging process
Experience working with physicians and other healthcare professionals to obtain necessary information and documentation
Excellent communication skills to interact with physicians, administrators, staff, and primary sources of information
Ideal candidate must be self-motivated, capable of working independently to achieve production goals, and have attention to detail
Able to work proficiently within multiple business applications including Microsoft Office, Adobe Acrobat, Microsoft Teams, and various credentialing software systems
Maintains a strong sense of urgency, thoroughness, and meets or exceeds established deadlines
Qualified applicants must be authorized to work in the United States commit to perform all work in the United States
Have a dedicated workspace in your residence that allows for privacy, minimal disruptions, and have adequate high-speed internet

Responsibilities

Conducts, participates in, and maintains credentialing and privileging.
Determines applicant’s initial and reappointment eligibility for membership/participation.
Compiles, evaluates, and presents the practitioner-specific data collected for review by one or more decision-making bodies.
Analyzes applications and supporting documents for completeness and informs the practitioner and/or client of the application status, including the need for any additional information.
Performs initial and reappointments for eligible practitioners and other eligible healthcare entities.
Conducts, participates in, and maintains primary source verification (PSV).
Provides client or designated representative with a completed, electronic formatted packet that reflects evidence of PSV and shall be current as of the date prepared by the source of the information.
Obtains and evaluates information from primary sources necessary for verification and validation.
Recognizes, investigates, and validates discrepancies and adverse information obtained from the application, primary source verifications, or other sources.
Verifies and documents expirable credentials using acceptable verification sources to ensure compliance with accreditation and regulatory standards.
Provides prompt responses to internal and external inquiries regarding status.
Applies clearly defined credentialing or privileging processes to all practitioners, providers, and other eligible healthcare entities.
Assist clients and providers by prefilling hospital privileging applications and sending to provider for final review and signature.
Directs initial or reappointment processes for eligible practitioners, providers, and other eligible healthcare entities.
Manages and complies with accreditation and regulatory standards.
Obtains and evaluates practitioner sanctions, complaints, and adverse data to ensure compliance.
Maintains an updated database to ensure accurate and current information is readily available.