Credentials Examiner I (Remote, $16/hour)

American Specialty Health Incorporated

5d•Remote

About The Position

American Specialty Health Incorporated (ASH) is seeking an Examiner I to expedite verification of practitioners’ credentials during credentialing and recredentialing. The work must follow department standards, accreditation standards, regulatory requirements, and health plan expectations. This is a work-from-home position with remote training. The employee must work in a designated home workspace using company-provided technology and have reliable internet service with a consistent minimum speed of 50 Mbps download and 10 Mbps upload; 100 Mbps download and 20 Mbps upload is recommended for higher-quality video meetings.

Requirements

High school diploma or GED certificate.
Typing speed of 45–50 words per minute.
Proficiency in Microsoft Office, including experience with Excel.
Ability to interact positively and respectfully and establish and maintain cooperative working relationships.
Ability to provide excellent customer service to internal and external customers.
Excellent listening and interpersonal communication skills.
Ability to organize, prioritize, multitask, and manage time effectively.
Accuracy and productivity in a changing environment with constant interruptions.
Ability to analyze information, problems, issues, situations, and procedures and develop effective solutions.
Ability to maintain strict confidentiality.
Ability to work from home in a designated area with company-provided technology.
Reliable internet connection with a consistent minimum speed of 50 Mbps download and 10 Mbps upload, and ability to participate in online video meetings.

Responsibilities

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 within 48 hours by phone and/or email.
Communicate barriers to management to obtain further support.
Meet the department manager’s minimum file-closure targets: a combined minimum of 200 Rehabilitative files and 150 Specialty Credentialing files, and a minimum of 200 Re-Credentialing files. Targets may change based on business needs.
Send termination and resignation requests according to timelines established by the department manager, which may change based on business needs.
Enter data and conduct research in Promis, PCT, SharePoint, and ASHCore to complete credentialing-process steps within predetermined timelines.
Complete regulatory training within the timeframe provided by the department manager.
Perform duties necessary to handle credentialing and recredentialing within predetermined timelines and state regulatory standards.
Maintain a quality-assurance accuracy rate of at least 99%.
Follow departmental work-from-home expectations and the Attendance & Punctuality policy and department expectations.
Perform other duties as assigned and comply with all policies and standards.