Verification Examiner I - Remote Position at American Specialty Health

Position Overview

American Specialty Health Incorporated (ASH) is looking for a Verification Examiner I to join their Credentialing team. The role focuses on confirming practitioner credentials following department, accreditation, regulatory, and health plan requirements, fully supported via remote work.

Remote Work Requirements

• The position will be trained remotely and operated from home with company-provided technology.
• A stable internet connection with at least 50 Mbps download and 10 Mbps upload speed is required (100/20 Mbps preferred) for effective video meetings.
• A designated workspace at home is necessary.

Key Responsibilities

• Perform daily verification and update credentialing data in PROMIS adhering to established standards and health plan criteria.
• Complete 20 or more primary source verifications each day, reporting daily production to supervisors.
• Confirm that applicants hold a current, valid license, checking for any sanctions through regulatory bodies and analyzing Medicare or Medicaid sanctions using designated systems.
• Verify current professional liability insurance and malpractice claim history for applicants.
• Authenticate educational qualifications via state licensing bodies or relevant academic institutions.
• Communicate with practitioners through mail, fax, or phone to clarify information or obtain necessary documentation.
• Verify clinical privileges status with healthcare facilities.
• Maintain confidentiality of sensitive practitioner data and complete assigned work within set deadlines.
• Ensure data accuracy rate is no less than 99%.
• Participate in team projects and provide assistance across the department as needed, complying with all company policies and standards.

Qualifications and Skills

• Minimum of a High School Diploma or GED required.
• At least one year experience with computers, including word processing and spreadsheets.
• Industry or data entry experience is preferred.
• Proficiency in Microsoft Office suite.
• Excellent verbal communication and customer service skills over the phone.

Core Competencies

• Ability to interact respectfully and maintain cooperative relationships.
• Strong customer service orientation for internal and external stakeholders.
• Good listening, interpersonal, and communication abilities.
• Efficient in organizing, prioritizing, multitasking, and time management.
• High accuracy and productivity even amid interruptions.
• Problem analysis capabilities and confidentiality adherence.

Physical and Environmental Conditions

• Primarily sedentary work requiring prolonged sitting.
• Ability to see, hear, and communicate effectively in verbal and written form.
• Capable of using computer peripherals and lifting up to 10 lbs.
• Work is conducted fully from home.

Equal Opportunity Employment

American Specialty Health is committed to equal opportunity and affirmative action, considering all qualified applicants regardless of sex, gender identity, race, religion, disability, age, sexual orientation, veteran status, or other protected characteristics as defined by law. Reasonable accommodations are available for applicants with disabilities by contacting the Human Resources department.