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.