Verity, A HealthStream Company and its NCQA certified VerityCVO delivers certified provider verification services that support hospitals, health systems, group practices, managed care organizations and more than 20 provider types nationwide. Formerly known as CredentialsOnLine, VerityCVO provides support, maintenance and consulting services to clients. Enabled by leading technology, we are a proven CVO partner. We help organizations improve efficiency and accelerate their credentialing process while ensuring quality and accuracy.
The credentialing specialist verifies and processes credentialing applications for healthcare organizations in accordance with the client’s verification requirements; audits and closes credentialing application files. Maintains a high degree of accuracy and integrity and meets goals for timeliness.
Reviews provider applications for completeness according to client criteria.
Ensures that all required credentialing verification and data collection elements are received.
Contacts and communicates to verification sources and clients for needed information.
Identifies possible adverse issues that require additional investigation and evaluation; validates discrepancies and ensures appropriate follow-up.
Inputs credentialing data into the database from provider applications and other source documents.
High school diploma or equivalent required.
Associate/Bachelor's Degree in a healthcare related field; OR
Experience in credentialing or medical staff affairs; OR
National Association of Medical Staff Services certification preferred; OR
"In the process" to take the NAMSS certification exam.
Familiar with healthcare regulatory standards: NCQA, JC, AAAHC, URAC and CMS; interpreting and applying regulatory standards.
Experience with credentialing software, preferably EchoCredentialing.
Knowledge and understanding of the initial and recredentialing process.
Microsoft Office Word, Excel, Access
Strong commitment to excellence and attention to detail.
Problem solver with solid analytical skills.
Maintains and establishes effective working relationships with clients, providers and team members.
Strong prioritization skills with the ability to adapt to change.
About Verity, A HealthStream Company
Verity, a HealthStream Company, delivers enterprise-class solutions to transform the healthcare provider experience for healthcare organizations and providers. We currently serve over 2,400 hospitals and 1,000 medical groups in the US. Verity resulted from the merging of Echo and Morrisey, representing over 75 years of industry experience, becoming the leadi...ng credentialing, enrollment, and privileging companies in the United States. HealthStream, (NASDAQ: HSTM), based in Nashville, TN, is our parent company, supporting us through innovation, investment, and the development of market-leading solutions. Verity has over 200 employees spanning headquarters in Boulder, CO and satellite offices in San Diego, CA, Brentwood, TN, and Chicago, IL. For more information, visit www.verityhealthstream.com