CVO Specialist - Credentialing Specialist

Hardenbergh Group; Plano (TX); Remote; USD 50,000 - 70,000; Full time

Job summary

A national company in the healthcare sector seeks a full-time Credentialing Verification Specialist to provide primary source verification services. This role involves conducting credentialing processes, ensuring compliance, and interacting with healthcare professionals. The position offers remote flexibility and comprehensive benefits.

Benefits

Generous paid time off

10 paid holidays

Employer-subsidized Medical, Dental, Vision

401(k) with 4% employer matching

Qualifications

• 2+ years experience in credentials verification and hospital privileging.
• Experience working with healthcare professionals to obtain necessary documentation.

Responsibilities

• Conducts credentialing and privileging processes.
• Verifies and documents expirable credentials.
• Maintains an updated database for accurate information.

Skills

Communication

Attention to Detail

Self-Motivated

Tools

Microsoft Office

Adobe Acrobat

Microsoft Teams

Job description

At Hardenbergh Group, we believe Exceptional Healthcare starts with Exceptional People. For over 30 Years, Hardenbergh Group has supported 1,500+ Clients, including payers, physician practices, and 16 of the Top 25 Healthcare Systems. We help our clients address risk, compliance, and operational challenges that directly impact patient safety, clinical quality, compliance, and revenue cycle through our Workforce Solutions suite of services that supports Staffing, Credentialing, Privileging, and Enrollment needs.

About the Role

The Hardenbergh Group is a national company providing credentialing services to the healthcare industry. We are 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.

Benefits include the flexibility to work remotely, generous paid time off, 10 paid holidays, employer-subsidized Medical, Dental, Vision, Disability, Life, Flex-Savings Accounts, and 401(k) with 4% employer matching contributions.

Responsibilities

• Conducts, participates in, and maintains credentialing and privileging.
• Determines applicants 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.

Required Skills and Qualifications

• 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

Other Requirements

• 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
• Work hours : Monday through Friday, hours flexible depending on assigned client(s) time zone and client needs

The Hardenbergh Group provides equal employment opportunities to all employees and applicants for employment without regard to race, color, creed, ancestry, national origin, citizenship, sex or gender, gender identity or expression, sexual orientation, marital status, religion, age, disability, genetic information, service in the military, or any other characteristic protected by applicable federal, state, or local laws and ordinances.

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