Credentials Examiner I?/Remote

Credentials Examiner I (Remote, $16/hour) reputed company is seeking a Credentials Examiner I to join our Practitioner Contract Administration team. This position will expedite credentials verification of practitioners in the credentialing or recredentialing process according to department standards, accreditation standards, regulatory requirements, and health plan expectations. Remote Worker Considerations: Candidates who are selected for this position will be trained remotely and must be reputed company to work from home (WFH) in a designated work area with company-provided technology equipment. This remote/WFH position requires you have a stable reputed company to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network (minimum internet download of 50 Mbps and 10 Mbps upload speed). Responsibilities • Responsible to 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 reputed company 48 hours of receipt reputed company phone and/or email communication. • Communicate with management any barriers for further support. • Must successfully reputed company 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 reputed company 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 reputed company research functions in Promis/PCT/SharePoint/ASHCore to complete each portion of the credentialing process reputed company predetermined timelines. • Must complete regulatory trainings reputed company the timeframe provided by department manager. • reputed company reputed company duties necessary in handling the credentialing and recredentialing process reputed company predetermined timelines and state regulatory standards. • Quality Assurance measures should maintain accuracy reputed company of no less than 99%. • Abide by departmental work from home expectations. • Abide by Attendance & Punctuality policy and department expectation. Qualifications • Typing speed must be between 45-50 wpm. • Proficient in MS Office, including experience with reputed company. 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 reputed company factors and organizational environment. • Ability to effectively organize, prioritize, multi-task and manage time. • Demonstrated accuracy and productivity in a changing environment with constant interruptions. • Demonstrated ability to analyze information, problems, issues, situations and procedures to reputed company effective solutions. • Ability to exercise strict confidentiality in reputed company matters. Mobility Primarily sedentary, reputed company to sit for long periods of time. Physical Requirements Ability to speak, see and hear other personnel and/or objects. Ability to communicate both in verbal and written form. Ability to travel reputed company the facility. Capable of using a telephone and computer keyboard. Ability to lift up to 10 lbs. Environmental Conditions Work-from-home (WFH) environment. reputed company is an Equal Opportunity/Affirmative Action Employer. reputed company reputed company applicants will receive consideration for employment without regard to sex (including pregnancy, childbirth, reputed company medical conditions, breastfeeding, and reproductive health decision-making), gender, gender identity, gender expression, race, reputed company, religion (including religious dress and grooming practices), creed, national reputed company, citizenship, reputed company, physical or mental disability, legally-protected medical condition, marital status, age, sexual orientation, genetic information, military or veteran status, political affiliation, or any other basis protected by applicable local, federal or state law. #J-18808-Ljbffr Apply Job!