Assist in the credentialing/recredentialing process for practitioners and facilities for network participation. Ensure all credentialing/recredentialing certification processes and procedures are completed in accordance with established regulatory and policy requirements. Coordinate and review all credentialing/recredentialing applications from new and existing providers; complete follow-up and problem resolutions as required. Interpret material received for timeliness and contact individual practitioners or department representatives for necessary information. Coordinate the processing, distribution, and management of all credentialing documents for practitioners insuring the information is verified.
Work Experience: Familiarity of credentialing functions or equivalent experience.
Education, Certificates, Licenses: High school diploma or equivalent required.
Knowledge: A general understanding of credentialing. Proficiency in Word, Excel, Adobe Pro and Access with emphasis on database management. Ability to make administrative and procedural decisions and judgments. Ability to develop and maintain record keeping systems and procedures including maintaining of filing systems. Must be detail oriented with excellent customer service skills.
Effective written and verbal communications skills and professional telephone skills. Exceptional grammar, spelling, punctuation, consistency, and editing skills. Excellent interpersonal skills.
Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time.
Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.
Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.