Jobs · OTHR

Verification Examiner (Remote, $15/hour)

American Specialty Health · United States · 3 days ago
RemoteRemoteOTHRFull-time

Responsibilities

  • Completes 20 or more primary source verifications (PSV) daily.
  • Shares production sheet with supervisor daily.
  • Verifies with the appropriate agencies that the applicant has a current and valid license.
  • Checks with the appropriate agencies to determine whether the applicant has had any sanctions against his/her license.
  • Determines whether the applicant has had any Medicare or Medicaid sanctions utilizing ZEBU EpStaff and sanctions from the 54 governing bodies including NPI and SSDMF.
  • Obtains verification of current Professional Liability Insurance and malpractice claim history for each applicant.
  • Verifies education through State licensing agencies or appropriate schools, colleges, or universities.
  • Communicates with practitioners by mail, fax, or phone to answer questions and obtain information.
  • Verifies whether an applicant has full or limited/partial clinical privileges by contacting the facility.
  • Maintains confidentiality of all practitioner data, and related issues.
  • Completes assigned work within predetermined timelines.
  • Enters data in PROMIS to complete each portion of the credentialing process within predetermined timelines.
  • Provides teamwork and assistance to all department staff, including participating in special projects and related credentialing assignments.
  • Maintains an accuracy rate of no less than 99%.

Qualifications

  • A High School Diploma or GED certificate required.
  • 1 year computer experience including word processing and spreadsheet applications required.
  • Industry experience preferred.
  • Data Entry experience preferred.
  • Proficient in MS Office.
  • Excellent verbal communication skills with the ability to provide excellent customer service over the telephone.

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 ability to analyze information, problems, issues, situations, and procedures to develop effective solutions.
  • Ability to exercise strict confidentiality in all matters.

Environmental Conditions

Work-from-home (WFH) environment.

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