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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.
Diversity and Inclusion: PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.
Position Overview: Assist in the credentialing/recredentialing process for practitioners and facilities for network participation. Serves as internal and external point of contact for the credentialing team, responds to inquiries regarding the credentialing or validation process, and completes follow-up and problem resolutions as required. Coordinate the processing, distribution, and management of all credentialing documents for practitioners insuring the information is verified.
Essential Responsibilities:
- Perform intake of all credentialing/recredentialing/validation applications and provider updates.
- Enter data into the credentialing database and upload to OnBase for processing.
- Assist in maintaining a comprehensive database to prepare reports and summaries as appropriate.
- Maintain credentialing email queue and respond to provider inquiries.
- Create meeting agendas and prepare minutes.
- Manage and route incoming phone calls in the credentialing queue, and assist with department mailings.
Supporting Responsibilities:
- Assist in delegation data management and performing provider updates.
- Download of electronic credentialing applications from outside entities.
- Meet department and company performance and attendance expectations.
- Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
- Perform other duties as assigned.
Work Experience: One year experience working in an environment requiring attention to detail and multi-tasking. Office and data entry experience preferred.
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. Effective written and verbal communications skills and professional telephone skills. Exceptional grammar, spelling, punctuation, consistency, and editing skills. Excellent interpersonal skills. Must be detail oriented with excellent customer service skills.
Competencies
- Adaptability
- Building Customer Loyalty
- Building Strategic Work Relationships
- Building Trust
- Continuous Improvement
- Contributing to Team Success
- Planning and Organizing
- Work Standards
Environment: Work inside in a general office setting with ergonomically configured equipment.
Our Values
We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:
- We are committed to doing the right thing.
- We are one team working toward a common goal.
- We are each responsible for customer service.
- We practice open communication at all levels of the company to foster individual, team and company growth.
- We actively participate in efforts to improve our many communities-internally and externally.
- We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.
- We encourage creativity, innovation, and the pursuit of excellence.
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.
This job has expired.
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