Work in Washington Veterans Jobs

Base Salary Range: $31,991.73 - $51,186.77 Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! 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. Assist in the credentialing/re-credentialing process for practitioners and facilities for network participation. Ensure all credentialing/ re-credentialing certification processes and procedures are completed in accordance with established regulatory and policy requirements. Coordinate and review all credentialing/ re-credentialing applications from new and existing providers; complete follow-up and problem resolutions as requir3ed. Interpret material received for timeliness and contact individual practitioners or department representatives for necessary information. Coordinate the processing, distribution, and management of all credentialing documents for practitioners insuring the information is verified. Essential Responsibilities: * Manage receipt of all credentialing/ re-credentialing applications and enter data into the credentialing database. * Manage monthly re-credential mailings and follow-up with practitioners when there is no response. * Facilitate and assist with internal and external record audits as appropriate. * Assist in maintaining a comprehensive database to prepare reports and summaries as appropriate. * Complete other department administrative tasks including: create meeting agendas and prepare minutes; order supplies, assist with provider workshops, and assist with department mailings. * Update provider appointment status from monthly term reports supplied by Operations and run the weekly credentialing report, validate entries and share with Provider Relations/Contracting. Supporting Responsibilities: * Assist as backup to the operations department daily support staff during vacation and illness absences. * Assist in delegation data management * Download of electronic credentialing applications from outside entities * Assist in data integrity audits * 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 a position that requires attention to details, multi-tasking and contributing to a positive work environment required or 6 months internal PacificSource experience. 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. Must be detail oriented with excellent customer service skills. Effective written and verbal communications skills and professional telephone skills. Exceptional grammar, spelling, punctuation, consistency, and editing skills. Excellent interpersonal skills. Competencies: Building Customer Loyalt To view the full job description,