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Credentials Verification Jobs in Arizona (NOW HIRING)

The Credentials Evaluator is responsible for evaluating and processing transcripts for all students ... verified. Essential Functions: As defined under the Americans with Disabilities Act, may include ...

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Verify licenses, certifications, education, employment history, and references. * Coordinate background checks, drug screens, I-9/E-Verify, and client-specific requirements. * Monitor credential ...

Completes verification forms/letters for outside facilities. * Maintain billing insurance grid ... Maintain practitioner credentialing files. * Maintain practitioner electronic file by keeping all ...

Issue Pocket Commission Credentials Collect SmartID Cards and PAC Cards; return terminated ... verification procedures. * Ability and willingness to travel nationwide to support onsite ...

Issue Pocket Commission Credentials Collect SmartID Cards and PAC Cards; return terminated ... verification procedures. * Ability and willingness to travel nationwide to support onsite ...

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Credentials Verification information

What is the difference between Credentials Verification vs Medical Assistant?

AspectCredentials VerificationMedical Assistant
Required credentialsVerifies licenses, certifications, and educational credentialsRequires completion of accredited training, certification (e.g., CMA), and sometimes licenses
Work environmentAdministrative, verification agencies, healthcare organizationsClinical and administrative settings in healthcare facilities
Employer usageUsed by HR, licensing boards, and healthcare providers for credential validationEmployers hire for patient care, administrative tasks, and clinical support
Search and comparison intentFocuses on credential validation processesFocuses on clinical support and patient interaction roles

Credentials Verification primarily involves confirming the validity of healthcare professionals' licenses and certifications, ensuring compliance and eligibility. Medical Assistants perform clinical and administrative tasks in healthcare settings, often requiring specific certifications. While both are integral to healthcare, Credentials Verification centers on validation processes, whereas Medical Assistants focus on patient care and support roles.

Credentialing Assistant-RTH-Chandler

Credentialing Assistant-RTH-Chandler

Gila River Health Care Corp

Sacaton, AZ • On-site

Full-time

Posted 23 hours ago


Gila River Health Care rating

8.0

Company rating: 8.0 out of 10

Based on 23 frontline employees who took The Breakroom Quiz


Job description

Position Summary: Support department with general administrative office and credentialing functions. Familiarity with practitioner credentialing, recredentialing and enrollment with participating health plans, data entry, and customer service. Credentialing functions include, but are not limited to, verification of professional licensing, training, and certifications of professional medical staff, updating and maintaining database with the requirement that all employed healthcare professionals and services meet all applicable federal and state medical standards, The Joint Commission (TJC), Center for Medicare Services (CMS), as well as NCQA (National Committee for Quality Assurance) requirements by performing the following duties personally. Responsible for ensuring that all critical tasks are fulfilled on a timely basis.
Critical Tasks:
  • Verifies individual medical certification, license and credential information to ensure current validity on a continuing basis.
  • Confers with practitioners, and applicable health personnel to assure complete, accurate, and current medical credentials.
  • Requests and receives pertinent documents from practitioners for initial credentialing, reappointment credentialing and privilege purposes.
  • Assist Medical Staff Services team with responding to practitioner, client health plan and internal inquiries in a timely manner.
  • Utilizes a variety of professional records indexes and storage/retrieval systems while maintaining perfect accuracy during all data entry activities.
  • Performs sanction research and reporting.
  • Operates computers to process, store, and retrieve medical credential information.
  • Processes applications and reappointment paperwork, checking for full completeness and accuracy.
  • Constantly collects and processes significant amounts of verification and accreditation information and must constantly maintain and update accurate databases for both practitioners and facilities. These databases include pertinent education, training, experience, and licensure content.
  • Assist in process for enrollment applications and submit documents for signatures
  • Assists and prepares records for auditing as needed.
  • Performs all follow up necessary to ensure that all required data and information is received from practitioners on a timely basis while also ensuring that all credentialing deadlines are met.
  • Maintains close communication with all medical practitioners to ensure that all records are up-to-date and consistentin the credentialing database and online systems; ensure timely renewal of licenses and certifications (i.e. State license, DEA certification, malpractice coverage and any other required credentialing documents for all practitioners to ensure compliance in a timely manner.)
  • Ensures that all information sources for credential verification purposes are valid, accurate, and consistently respected.

Required Qualifications:
  • High school graduation required
  • College degree preferred.
  • Minimum of 2 years of experience in a medical credentialing role
  • CPCS certification by the National Association of Medical Staff Services preferred.
  • Demonstrated ability to relate to diverse cultures and specifically the Gila River Community and/or other Native American cultures.
  • Interest in medical subjects, patient services/care, and customer service.
  • Prior medical environment work experience is preferred.

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