DHR Health - US:TX:McAllen - Days
Summary:
FLSA STATUS: Exempt Non-Exempt
MISSION STATEMENT:
Our Mission is to improve the well-being of those we serve with a commitment to excellence: every patient, every encounter, every time.
VISION:
Our Vision is to create a world-class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence.
POSITION SUMMARY:
The Primary Source Verifier (PSV) is responsible for ensuring all practitioner licensure and credentialing requirements are verified through appropriate primary sources and completed prior to expiration. This role is critical to maintaining compliance with regulatory and accreditation standards, including Joint Commission requirements. The PSV serves as the designated owner of all Primary Source Verification activities, ensuring accurate tracking, timely completion, and appropriate escalation of any compliance risks.
POSITION EDUCATION/ QUALIFICATIONS:
- Minimum of High School Diploma or GED
- Experience in credentialing, medical staff services, or healthcare administration preferred
- Knowledge of credentialing systems (e.g., Symplr) preferred
- Understanding of primary source verification (PSV) processes preferred
- Proficiency in Microsoft Office and database systems
Strong attention to detail and organizational skills
JOB KNOWLEDGE/EXPERIENCE:
- Communication – communicates clearly and concisely
- Interpersonal skills – able to work effectively with team members and external agencies
- PC skills – demonstrates proficiency in Microsoft Office applications and credentialing systems
- Policies & Procedures – demonstrates knowledge of credentialing policies, procedures, and compliance requirements
Analytical skills – able to identify discrepancies and follow up appropriately
Responsibilities:
POSITION RESPONSIBILITIES:
· Perform primary source verification (PSV) for Physicians (MD/DO/DDS/DPM) and Advanced Practice Providers (APPs), including licensure, DEA/DPS, board certification, education, training, and work history.
· Ensure timely completion of PSV activities by monitoring license expiration dates and verification status; complete all verifications within required timeframes.
· Document all verification activities accurately in credentialing systems and provider files, including maintaining complete and audit-ready records of both system-generated and manual verifications.
· Utilize Symplr credentialing software for tracking, documentation, and workflow management; recognize system limitations and ensure appropriate manual processes are followed when verifications cannot be completed within the system.
· Perform manual primary source verification for licensing boards or entities not supported by system tools (e.g., Texas Board of Nursing), ensuring documentation is complete and compliant.
· Review verification results for discrepancies, inconsistencies, or gaps, and follow up with primary sources, providers, or departments to obtain missing or incomplete information.
· Issue expiration reminders at defined intervals and follow up to ensure timely renewal and compliance.
· Identify, escalate, and document issues that may pose a compliance risk, including notifying Medical Staff leadership as appropriate.
· Apply hard stop controls for providers with incomplete or expired required documentation (e.g., malpractice coverage, temporary privileges).
· Maintain compliance with regulatory and accreditation standards (e.g., Joint Commission, CMS) and support internal audits, compliance reviews, and accreditation surveys.
· Coordinate with internal departments including, Renaissance Medical Foundation (RMF), Human Resources, PHO, and Compliance to ensure complete and accurate credentialing information.
· Maintain confidentiality and security of sensitive provider information in accordance with organizational policies.
· Participate in Joint Commission and regulatory agency audits.
· Follow established credentialing policies and procedures and recommend process improvements to enhance efficiency, accuracy, and compliance.
· Performs other duties as assigned to support departmental operations and organizational needs.
· Other duties as assigned.
LINES OF REPSONSIBILITIES :
1. Manager 2. Director 3. Executive VP Admin Chief of Staff
Other information:
CUSTOMER SERVICE:
Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including: Commitment, Accountability, Respect, Excellence and Service.
AGE SPECIFIC :
Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his/her assigned unit. The individual must demonstrate knowledge of principles of growth and development over the life span and possess the ability to assess data reflective of the patient’s status and interpret the appropriate information needed to identify each patient’s requirement relative to his or her age.
AMERICANS WITH DISABILITIES ACT: (ADA) :
A. Essential Duties : Indicated by bold print within performance standards, preceding individual numbered criteria.
The following table provides physical requirements that will be associated with, but not limited to, this position:
Light/moderate lifting up to 20 lbs, from the floor to shoulder height.
Must be able to assist other employees with lifting more than 20 lbs.
Light/moderate carrying up to 20 lbs.
Dual simultaneous grasping
Operating office equipment
Operating mechanical equipment
Ability to read and write
Ability to hear verbal communication without aid
Operating Personal Vehicle
Ability to comprehend written/verbal communication
Other: Ability to deal with stress
B. Working Conditions : The individual spends over 95% of his/her time in an air-conditioned environment with varying exposures to noise. There is protection from weather conditions but not necessarily from temperature changes. The position does have low exposure to malodorous, infectious body fluids from patients and some minimal exposure to noxious smells from cleansing agents.
C. Occupational Exposure: This position has minimal to no exposure to blood, body fluids, or tissues and is an OSHA Category III (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids). Person who performs these duties are not called upon as part of their employment to perform or assist in emergency medical care or first aid or to be potentially exposed in some other way.
D. Aptitudes : HIGH 1 2 3 4 5 6 LOW
Intelligence: General learning ability: The ability to “catch on” or understand instructions and underlying principles. Ability to reason and make judgments. 3
Verbal: Ability to understand meanings of words and ideas associated with them, and to use them effectively. To comprehend language, to understand relationships between words, and to understand meanings of whole sentences and paragraphs. To present information or ideas clearly. 3
Numerical: Ability to perform arithmetic operations quickly and accurately. 2
Spatial: Ability to comprehend forms in space and understands relationships of plane and solid objects. Frequently described as the ability to “visualize” objects or two or three dimensions, or to think visually of geometric forms. 2
Form Perception: Ability to perceive pertinent details and objects or in pictorial or graphic material to make visual comparisons and discriminations and see slight differences in shapes and shadings of figures and widths and lengths of lines. 3
Clerical Perception: Ability to receive pertinent details and verbal or tabular material. To observe differences in copy, to proofread words and numbers, and to avoid perceptual errors in arithmetic computation. 2
Motor Coordination: Ability to coordinate eyes and hands to fingers rapidly and accurately in making precise movements with speed. Ability to make a movement response accurately and quickly. 3
Finger Dexterity: Ability to move hands easily and skillfully. To work with fingers in placing and turning motions. 3
Manual Dexterity: Ability to move hands easily and skillfully. To work with hands in placing and turning motions. 3
Eye-Hand-Foot Coordination: Ability to move the hand and foot coordinately with each other in accordance with visual stimuli. 3
Color Discrimination: Ability to perceive and respond to similarities or differences in colors, shapes, or other values of the same or different color. To identify a particular color, or to recognize harmonious or contrasting color combinations, or to match color adequately. 3
I have read and reviewed my job description with my supervisor or designee and I understand the job I am expected to perform.
If applicable ____________ certification will be completed within _________ time frame of hire/transfer date.
Employee Signature: ________________________________ Date: ____________________
Transfer/Hire Date Effective: ________________________.
