Administrative Analyst

Administrative Carmel, Indiana Fort Worth, Texas


Description

American Specialty Health Incorporated is seeking an Administrative Analyst to join our department. This position will support the Credentialing Manager, Supervisors, and Credentialing Examiners in their efforts to complete the initial credentialing/re-credentialing process.

Responsibilities

  • Reviews and prepares incoming re-credentialing applications and documentation. 
  • Assist with assigning new credentialing /re-credentialing applications to credentialing examiners per department guidelines.
  • Run daily reports to report individual and department inventory levels to the Leads and Management team.
  • Review and maintain inventory spreadsheets to identify trends/errors and report to Management team regularly.
  • Assist with Administrative review.
  • Process cancelation/termination requests for Providers/practitioners that have either requested to cancel their application or for being non-compliant with the ASH credentialing process.
  • Notify affected departments of these cancelations to eliminate unnecessary work and data can be reported to the necessary channels.
  • Send official cancelation letters for providers that have been canceled.
  • Reinstate canceled providers/practitioners that have been compiled with the request for additional information or documentation prior to the final appeal date.
  • Performs Quality Assurance.
  • Responsible for the department email account (PCA ASSIST).
  • Assist Senior Admin Analyst with the walk in agenda for the weekly PRC meetings.
  • Update department page on internal webpage, The FLASH. Update information, upload documents and spreadsheets.
  • Assist the management team with as needed projects that pertains to credential examiners in closing files.
  • Performs quality assurance check to ensure 100% accuracy.
  • Communicates and works cooperatively with Clinical Quality Administration (CQA) and Supervisor, Practitioner Contract Administration regarding issues, questions and/or problems related to the agendas.
  • Assist with welcome letters to comply with standards.
  • Reviews all letters with Supervisor on a quarterly basis.
  • Updates PROMIS’ Practitioner Communication Screen and monitors PCT accordingly.
  • Maintains confidentiality of all practitioner files, practitioner documents, records, reports and related data.
  • Assists in performing Administrative Review on credentialing files, as needed.
  • Processes Practitioner Status Change Requests for participating practitioners.
  • Prepares and distributes team meeting minutes.
  • Maintains confidentiality of all practitioner files, practitioner documents, records, reports and related data.
  •  Credentials ASH Campaign Applications.
  • Creates campaign reports and manage production and send to management team.
  • Enters and tracks data through internal databases to complete each portion of the credentialing process within predetermined timelines.  Review and process credentialing files when necessary to close for campaigns.

Qualifications 

  • High school diploma required.
  • Minimum two years progressive experience providing administrative support.
  • Minimum 10,000 key stroke per hour. 
  • Proficient in MS Office, including experience with Excel and Access.  

Core Competencies

  • Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships.
  • Ability to display excellent customer service to meet the needs and expectations of both internal and external customers.
  • Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment.
  • Ability to effectively organize, prioritize, multi-task and manage time.
  • Demonstrated accuracy and productivity in a changing environment with constant interruptions.
  • Demonstrated ability to analyze information, problems, issues, situations and procedures to develop effective solutions.
  • Ability to exercise strict confidentiality in all matters.

Mobility

Primarily sedentary, able to sit for long periods of time. 

Physical Requirements

Ability to speak, see and hear other personnel and/or objects.  Ability to communicate both in verbal and written form. Ability to travel within the facility. Capable of using a telephone and computer keyboard.  Ability to lift up to 10 lbs.

Environmental Conditions

Usual office setting.

American Specialty Health is an Equal Opportunity/Affirmative Action Employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex including sexual orientation and gender identity, national origin, disability, protected Veteran Status, or any other characteristic protected by applicable federal, state, or local law. 

Please view Equal Employment Opportunity Posters provided by OFCCP here.

If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact our Human Resources Department at (800) 848-3555 x6702.

ASH will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company’s legal duty to furnish information.