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FIRST CHOICE HEALTH
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| COMPANY INFORMATION: |
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First Choice Health is a Seattle-based, physician and hospital-owned company
serving Washington and the Northwest since 1985. We now serve well over one million
people with our array of products and services. Our Preferred Provider Organization (PPO)
is recognized as the leading independent PPO in Washington State and has a growing
regional presence in Oregon, Idaho, Montana and Alaska.
We occupy a great downtown location, pay competitive salaries and offer a comprehensive
benefits package including medical, dental, vision, health savings accounts, flexible
spending accounts, life and disability insurance, EAP, 401(k), profit sharing, tuition
reimbursement, transportation assistance, credit union and gym membership discounts.
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CREDENTIALING SPECIALIST I - SEATTLE OFFICE - Posting Closes June 21, 2010 at 5PM |
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| JOB SUMMARY: |
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According to established departmental policy, procedure, and standards, the Credentialing Specialist is responsible for the administration and coordination of First Choice Health Network's Credentialing Program. |
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| MAIN DUTIES: |
- Perform all credentialing functions, including intake, primary source verification, documentation, and tracking of credentialing requests, according to national quality standards.
- Validate provider applications for completeness, accuracy and signature. Accurate entry of application and credentialing status into the credentialing software systems.
- Maintain written and verbal correspondence with federal, state and local agencies, hospitals, medical review boards and malpractice carriers regarding provider status.
- Maintain written and verbal correspondence with providers regarding status and requested additional information.
- Data collection and reporting on credentialing productivity.
- Maintain knowledge of current American Accreditation Healthcare Commission (URAC) Standards.
- Other duties as assigned.
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| REQUIREMENTS: |
- AA Degree or High School diploma or equivalent, and 1-3 years of equivalent related experience in a provider and/or facility credentialing function in a healthcare environment
- Advanced computer skills and related software programs including, but not limited to Word, Excel and Access
- CPMSM and/or CPCS Certification or working towards credits to fulfill certification requirements preferred
- Ability to organize, manage, control work flow and meet deadlines
- Strong written, verbal and interpersonal skills
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| CONTACT INFORMATION: |
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Please submit your resume to jobs@fchn.com.
Additional information about our company may be found on our website
www.fchn.com
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