Credentialing Assistant (OA)

Tohono O'odham Nation Healthcare

15d

About The Position

Performs a wide variety of administrative tasks associated with maintaining and supporting the work performed within the organization. Such work includes functions necessary for the efficient management of the credentialing office and ranges from correspondence and information control to ordering and tracking equipment, supplies, and services for the Clinical Services department. In addition, the incumbent prepares, processes, tracks, and submits credentialing applications. Scope of Work: The position is located within the Tohono O'odham Nation Health Care. The incumbent is primarily responsible for assisting physicians with preparing and submitting credentialing applications and ensuring quality patient care needs meet the verification processes of all providers.

Requirements

High School Diploma or General Education Diploma.
Two years' work experience in the clerical field, or an equivalent combination of training, education, and work experience, demonstrates the ability to perform the duties of this position.
Must type 40 WPM.
Must demonstrate sixty percent proficiency in grammar, spelling, and math.
Upon recommendation for hire, a criminal background and a National FBI fingerprint check are required to determine suitability for employment, including a 39-month driving record.
May require possessing and maintaining a valid driver's license (no DUIs or major traffic citations within the last three years).
If required, must meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit to operate program vehicles.
Based on the department's needs, incumbents may be required to demonstrate fluency in both the Tohono O'odham language and English as a condition of employment.

Responsibilities

Prepares and submits credentialing applications.
Enroll physicians with third-party payers.
Follow-up on the status of applications for physicians and payers.
Keeps a detailed log of all pending and completed work.
Communicate the results and status of third-party payer applications to physicians, payers, managers, and co-workers.
Receives, assesses, routes, or otherwise handles incoming and outgoing materials such as controlled or routine correspondence, reports, memoranda, and other forms of written communication.
Attends medical staff meetings, records, types, and distributes minutes. Tracks issues in meetings to ensure appropriate evaluation and follow-up to resolve.
Maintain the medical staff competency files with all CME attendance records and mandatory training.
Tracks controlled correspondence; composes, edits, and reviews correspondence, letters, reports, and other written documents for accuracy and completeness.
Perform office automation duties, including preparing ad hoc and reoccurring reports, forms, correspondence, and presentation materials, including complex graphs, charts, and tabular material.
Compiles, organizes, and tracks program data that may include statistical information supporting the organization's program operations.
Enters pertinent information into various automated tracking systems and maintains program-specific data to track items such as project milestones, progress reports, funding and expenditure data, etc.
Serve as the point of contact for scheduling meetings for conference rooms. Schedules appointments, coordinates meetings, and schedules conferences.
Receives refers and interacts with persons within and outside of the immediate organizational unit, including other Federal organizations, private industry, and the general public.
Purchases supplies, equipment, and other materials using prescribed purchasing guidelines and procedures.
Follows up on and tracks expenditures and ensures prompt payment.
Answers questions concerning policies and procedures related to support/office services and new projects, requests, and shifts in priorities and commitments.
Contribute to a team effort.
Performs other job-related duties as assigned.