Viant Inc., formerly Concentra Network Services, is the leader in the managed care industry. Viant consists of a network and out-of-network group of services that our clients rely on to maximize savings opportunities and improve business processes. Viant's network side, Beech Street and ppoNEXT, have been a cornerstone in the healthcare industry, serving the needs of our clients and their members for more than 55 years. Viant's out-of-network services are the industry leader that have provided comprehensive cost control strategies to payers.
An Equal Opportunity Employer
PPO Credentialing Specialist 1 / 1134
Occupation:General/Other: Administrative/Clerical
Position Description:
The Credentialing Specialist 1 is responsible for processing provider applications and re-applications for participation in accordance with required organizations’ and Viant policies, practices, and procedures.
JOB RESPONSIBILITIES:
1. Track, maintain, and review pending credentialing information for all practitioners applying to participate in, or already participating in, a Viant network; verify questionable information and direct the applications appropriately through the remainder of the credentialing process.
2. Review re-credentialing applications completed by an outside vendor for accuracy as well as for questionable clinical, quality, and business issues.
3. Initiate verification or re-verification of practitioners’ credentials and ensure that all credentials remain current.
4. Update and maintain practitioner information in credentialing database.
5. Demonstrate commitment to Viant core values.
6. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.
JOB SCOPE:
The Credentialing Specialist 1 impacts revenues and operations to the extent of performing duties correctly and in a timely manner. An incumbent works under general supervision and uses established guidelines and knowledge gained through experience to complete job responsibilities.
Qualifications:
• Minimum high school diploma or equivalent (i.e. GED)
• Minimum 1 year experience in clerical work
• Ability to work independently
• Ability to use software, hardware, and peripherals related to job responsibilities, including MS Office
• Knowledge of credentialing process and organizations such as Utilization Review Accreditation Commission (URAC), Joint Commission on Accreditation of Healthcare Organizations (JCAHO), National Committee for Quality Assurance (NCQA)
• Knowledge of PPO networks and workers’ compensation preferred
• Communication and interpersonal skills
Diversity and Equal Employment Opportunity (EEO)
As an Equal Opportunity Employer, Viant will provide equal consideration to all colleagues and job
candidates without regard to sex, age, race, marital status, sexual orientation, religion,
national origin, citizenship status, physical or mental disability, political affiliation, service in
the Armed Forces of the United States, or any other characteristic protected by federal,
state, or local law.
Updated 7/2/09 RJM
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- Location:
Chattanooga, TN 37421 - Job Status/Type:
Full Time, Employee - Career Level:
Experienced (Non-Manager)
- Job RefCode:
1134
