Credentialing Specialist I CHG Healthcare Services
THIS JOB HAS EXPIRED Description:
This at-will position is responsible for providing administrative support to CVO as well as data entering, gathering, and verifying healthcare practitioner information, which includes in-depth or detailed data collection for addition to the CVO database. Primary methods of researching information include phone, fax, e-mail, and letters. Adheres to company mission and values.
? Maintains archive files for CVO Team
? Answers, places, screens, and routes telephone calls
? Corresponds with hospitals, clinics, and internal departments verbally and in written communications
? Monthly processing of billing and reconciliation of invoices
? Process files and prepare for scanning
? Scans credentialing documentation and sends to clients
? General filing and general administrative support of CVO
? Data enters assigned files into credentialing database.
? Mails, e-mails, faxes, and calls for verification requests to the appropriate primary sources (e.g., hospitals, licensing boards, etc.) to gather and verify healthcare practitioner information.
? Researches verification information via the Internet and other electronic databases and enters into database.
? Contacts practitioners/primary sources/clients for missing information identified during the credentialing process.
? Enters researched and/or corrected information into the credentialing database.
? Reviews and organizes files for accuracy and completeness in preparation for auditing.
? Monitors and reports on the status of credentialing files at file discussion meetings.
? Participates in Team Building functions.
? Other duties as assigned by management.
? Completes other clerical duties as assigned.
? Demonstrate effective phone/verbal and written communication skills
? Computer and data entry skills: includes MS Word, Excel and database Advanced Word and Excel skills.
? Accurately type 35 wpm
? Excellent attention to detail
? Interacting, communicating and corresponding with professionals and professional organizations
? Be detail oriented with ability to recognize vital information from verification documents
? Ability to prioritize well and meet overlapping deadlines
? Demonstrate problem-solving, critical thinking, and deductive reasoning skills
Experience & Education:
? High school education or equivalent work experience.
? Familiarity with the medical field and/or medical terminology
? Previous customer service and/or phone experience
? Previous office and clerical experience
? Experience with databases, data entry, Microsoft Word and Excel
? Self-motivated and able to work independently with little supervision
? Prioritize tasks and manage time effectively to achieve goals and meet deadlines
? Make quick and accurate judgments
? Use active listening techniques effectively to determine the concerns, needs, and motivations of customers, co-workers, providers, etc.
? Function in team environment
? Ability to learn and use credentialing database and other related databases
? Ability to obtain information via the Internet
? Ability to follow instructions and use time productively
? Ability to work individually as well as in a highly functional team environment
? Ability to effectively manage customer service issues and maintain team quality expectations
Note: Position descriptions are intended to serve as a guideline for typical duties and requirements of a position, but are not inclusive. Additional, or different responsibilities within a reasonable scope of the position description, may be added or deleted at any time at the discretion of management. Salary range designation may also be changed at any time at the discretion of management. EOE/AA employer.
||6440 South Millrock Drive |
Salt Lake City, UT 84171
THIS JOB HAS EXPIRED