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Referral & Credentialing Specialist
Washington State University
Referral & Credentialing Specialist
Washington State University
 Referral & Credentialing Specialist Available Title(s): 107I-YN_CS_NPS - Program Specialist 2 Business Title: Referral & Credentialing Specialist Employee Type: Classified Time Type: Full time Position Term: 12 Month Position Details: Summary of Duties: The Referral and Credentialing Specialist coordinates all aspects of the referral and authorization process. Create processes and set goals to ensure patient referrals are provided accurately and in a timely manner. Serve as a liaison between Cougar Health Services, patients, and local and out of area medical, dental, and ancillary service providers. Assist patients, staff, and outside organizations to ensure that patients referred for outside care are advised of current medical insurance requirements as they relate to authorization of medical services and referrals to specialist or ancillary services. Select/recommend alternative courses of action when required and monitor referral program activities to determine consistency with CHS goals. Assist patients in obtaining fees for referral services. The Referral and Credentialing Specialist coordinates new and current credentialing and re-credentialing for all contracted insurance companies. Manage the on-line credentialing source ProviderSource to upload and input CHS health care provider credentialing and privileging data; assist and remind health care providers when they need to attest and re-attest to certify their individual data. Required Qualifications:
Preferred Qualifications:
COVID-19 Vaccine Information: Washington State University requires employees in healthcare facilities to be vaccinated against COVID-19. As a condition of employment, you must be fully vaccinated or have an approved medical/religious accommodation by time of hire. People are considered fully vaccinated two weeks after receiving their last shot in a vaccine series. Full vaccination status or an approved accommodation will be verified prior to your first day of work. Should you not be fully vaccinated or have an approved medical/religious accommodation you will not be able to start employment with WSU. Please contact HRS at hrs@wsu.edu or 509-335-4521 for information regarding vaccine verification and/or requesting a medical/religious accommodation. Additional Information: Area/College: Student Affairs Department Name: Cougar Health Services City, State, Zip: Pullman, WA 99164 Department Link: https://cougarhealth.wsu.edu/ Monthly Salary: Range 42 | $3,537 to $4,723 (Steps A-M) | Successful candidates typically begin at the beginning of the salary range and receive scheduled salary increment increases in accordance with WAC 357-28. WSU offers a comprehensive benefits package which includes: paid sick and vacation leave; paid holidays; medical, dental, life and disability insurance package for employees and dependents; retirement; deferred compensation and optional supplemental retirement accounts. For a more detailed summary of benefits offered by WSU for classified staff visit: https://hrs.wsu.edu/wp-content/uploads/2023/01/2023-Benefit-Overview-for-Civil-Service.pdf. Find total compensation here: https://hrs.wsu.edu/managers/recruitment-toolkit/total-compensation/. Overtime Eligibility: Overtime eligible. FTE: 100% This is a Permanent position. Posting Close Date: Applicants must submit their completed application by Monday, December 4, 2023 at 11:59 p.m. Background Check: This position has been designated by the department to require a background check because it requires access to children or vulnerable adults as defined by RCW 74.34, engages in law enforcement, requires security clearance, interacts with WSU students in a counseling or advising capacity, has access to personal identifying and/or financial information, unsupervised access to university buildings/property, or other business-related need. A background check will not be completed until an initial determination of qualification for employment has been made. Application Instructions: All applicants must upload a cover letter and resume/cv to their online application. Application materials should clearly communicate how the applicant meets all required qualifications.
Required Documents:
WASHINGTON STATE UNIVERSITY IS AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EDUCATOR AND EMPLOYER. Members of ethnic minorities, women, special disabled veterans, veterans of the Vietnam-era, recently separated veterans, and other protected veteran, persons of disability and/or persons age 40 and over are encouraged to apply. WSU employs only U.S. citizens and lawfully authorized non-U.S. citizens. All new employees must show employment eligibility verification as required by the U.S. Citizenship and Immigration Services. WSU is committed to providing access and reasonable accommodation in its services, programs, activities, education and employment for individuals with disabilities. To request disability accommodation in the application process, contact Human Resource Services: 509-335-4521 (v), Washington State TDD Relay Service: Voice Callers: 1-800-833-6384; TDD Callers: 1-800-833-6388, 509-335-1259(f), or hrs@wsu.edu. To apply, visit https://wsu.wd5.myworkdayjobs.com/en-US/WSU_Jobs/job/Pullman-WA/Referral---Credentialing-Specialist_R-10747 Washington State University is an Equal Opportunity/Affirmative Action Educator and Employer. Copyright 2022 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-148ee3ada4433e4a8fe42ec0c1938078
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Internal Number: 4796153
Washington State University is a public research university committed to its land-grant heritage and tradition of service to society. Washington State College was established in 1890 as a land-grant institution. It has become a distinguished public research university, but its mission remains rooted in accessibility and public service.For more than 130 years, we have strived to unlock possibilities by empowering students, faculty, and others to create a world where all people can thrive.In that spirit, our community welcomes scholars from around the globe and prioritizes equitable opportunities for all.
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