Credentials Examiner I (Remote, $16/hour)

Job Summary

American Specialty Health Incorporated (ASH) is looking to hire an Examiner I to join the Credentialing department. This role involves accelerating the credential verification process for practitioners undergoing credentialing or recredentialing, adhering to departmental standards, accreditation rules, regulatory mandates, and health plan guidelines.

Remote Work Requirements

This position is fully remote with initial training conducted online. Candidates must have a dedicated home workspace equipped with company-provided technology. A stable internet connection is essential with a minimum speed of 50 Mbps download and 10 Mbps upload; 100 Mbps down and 20 Mbps up is recommended for high-quality video conferencing.

Key Responsibilities

• Collect and verify information required for credentialing new applicants and recredentialing existing practitioners per department protocols.
• Retrieve needed documentation via mail, fax, or telephone and update practitioner records accordingly.
• Respond to practitioner inquiries within 48 hours through email or phone.
• Communicate obstacles to management for additional support as necessary.
• Meet department targets by closing at least 200 rehabilitative files, 150 specialty credentialing files, and 200 recredentialing files, with possible changes based on business needs.
• Ensure timely processing of termination and resignation requests following department timelines.
• Input data and research information across multiple platforms including Promis, PCT, SharePoint, and ASHCore within set deadlines.
• Complete all mandatory regulatory trainings within assigned timeframes.
• Maintain accuracy rate of at least 99% in quality assurance checks.
• Follow work-from-home protocols, attendance, and punctuality policies diligently.
• Perform additional duties as assigned while complying with all company policies and standards.

Qualifications and Skills

• High school diploma or GED required.
• Typing speed between 45-50 words per minute.
• Proficiency with Microsoft Office Suite, especially Excel.
• Ability to interact cordially and maintain cooperative work relationships.
• Deliver excellent customer service to both internal and external clients.
• Strong listening and communication skills to assess key competencies and adapt to organizational culture.
• Excellent organizational, prioritization, multitasking, and time management skills.
• Demonstrated accuracy and efficiency amidst frequent interruptions.
• Analytical skills to resolve issues effectively.
• Strict adherence to confidentiality requirements.
• Primarily sedentary work requiring long periods of sitting.
• Capability to see, speak, and hear clearly; communicate verbally and in writing; use telephone, keyboard, and mouse; lift up to 10 pounds; and travel within home workspace.

Environmental and Additional Information

Work will be performed in a home-based environment following specific remote work guidelines.

Equal Employment Opportunity

ASH is committed to providing equal opportunity employment regardless of sex, gender identity, race, religion, disability, veteran status, or any other protected classification under applicable laws. Reasonable accommodations are available upon request for individuals with disabilities or disabled veterans to access the hiring process.