Credentials Examiner I (Remote, $16/hour)

Responsibilities

• Obtain information to credential new applicants and recredential participating practitioners according to department standards.
• Obtain required documentation by mail, fax, or phone and update practitioner files.
• Communicate with practitioners by mail, fax, or phone to answer questions and obtain information in a timely manner.
• Respond to provider inquiries within 48 hours of receipt via phone and/or email communication.
• Communicate with management any barriers for further support.
• Must successfully close a combined minimum number of 200 Rehabilitative files and 150 Specialty Credentialing files as set by department manager and subject to change based on business need.
• Must successfully close a minimum number of 200 Re-Credentialing files as set by department manager and subject to change based on business need.
• Ensure terminations and resignation requests are sent by set timeline established by department manager and can be subject to change based on business need.
• Enter data and perform research functions in Promis/PCT/SharePoint/ASHCore to complete each portion of the credentialing process within predetermined timelines.
• Must complete regulatory trainings within the timeframe provided by department manager.
• Perform all duties necessary in handling the credentialing and recredentialing process within predetermined timelines and state regulatory standards.
• Quality Assurance measures should maintain accuracy rate of no less than 99%.

Qualifications

• A High School Diploma or GED certificate required.
• Typing speed must be between 45-50 wpm.
• Proficient in MS Office, including experience with Excel.

Core Competencies

• Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships.
• Ability to display excellent customer service to meet the needs and expectations of both internal and external customers.
• Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment.
• Demonstrated accuracy and productivity in a changing environment with constant interruptions.
• Demonstrated ability to analyze information, problems, issues, situations, and procedures to develop effective solutions.
• Ability to exercise strict confidentiality in all matters.

Remote Worker Guidelines

This position will be trained remotely and must be able to work from home (WFH) in a designated work area with company-provided technology equipment. This WFH position requires you have a stable connection to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network. The internet connection must have a consistent 50 down/10 up Mbps minimum internet speed. 100 down/20 up is recommended to support higher quality video meetings.