Credentialing Analyst (Grants Pass)

Credentialing Analyst (Grants Pass)

02 May 2019

Credentialing Analyst (Grants Pass)

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AllCare Health is seeking a Full-Time Credentialing Analyst who thrives in a team environment and has the ability to provide exceptional service and skills.

AllCare Health is a southern Oregon-based health organization, led by local physicians since 1994. In a progressive model of care, we combine medical, dental, and behavioral health services to provide Medicare, Medicaid insurance coverage to our members. We also provide support to our providers through AllCare Independent Physician Association and AllCare e-Health Services

The Credentialing Analyst is responsible for the daily processing of transactions related to AllCare Advantage members.

Minimum Job Qualifications:

• CPCS or CPC certification or a minimum of three years work experience in the health care industry.

• Working knowledge of computers, computer related processes and programs i.e. excel, word, power point.

• Must be able to demonstrate excellent communication skills with both internal personnel and external provider offices.

• Requires creative and highly adaptable problem solving skills.

• Organization - proactively prioritizes needs and effectively manages resources. Ability to show attention to detail.

• Communication - communicates clearly and concisely. Must have excellent interpersonal and written communication skills. This includes spelling and grammar.

• Customer Satisfaction - establishes and maintains long-term custom relationships, building trust and respect by consistently meeting and exceeding expectations.

• Must have the ability to prioritize multiple projects and manage multiple demands effectively, and ability to meet multiple deadlines and maintain flexibility.

• Must function well independently and in a team environment.

Essential Duties:

Includes: maintenance of information for primary source verification, follow-up, data

collection, data entry and document review. Responsible for maintaining all credentialing files and databases associated with credentialing activities. Excellent communication and

relationship building skills are required.

Physical Demands: Must be able to sit for a minimum of 8 hours per day using telephone and computer.

AllCare offers a great working environment and competitive benefit package. Candidates offered a position must be able to successfully pass a drug test and background check. Skills testing may be required.

For consideration, please submit your resume, cover letter and a list of your professional references online at: www.allcarehealth/careers.com. Please note-this is located at our office in Grants Pass and remote work is not available.

AllCare Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.

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