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  • Charleston, WV
  • Posted: February 28, 2020
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  • Basic Description
    • Oversees the processes of Provider Enrollment maintenance and credentialing and re-credentialing payer applications of health care providers in a timely fashion.  
  • Specialized Knowledge, Experience and Skills
    (Education, Experience and Skills required to fully perform the requirements of the position)
    • Degree / Education
      • Bachelors Degree
    • Level of Experience
      • 5+ years of provider enrollment experience and 2-3 years in a management capacity.

    • Lic./Cert./Reg.
      • All licensure must be current/valid and from the state of West Virginia.
    • Typing/Word Processing skills required for this position
    • Computer Skills required for this position
      • Experience with CAQH Database, NPI Website, PECO's and maintain EDI

    • Other Required Areas of Knowledge, Skills and Abilities
    • Acceptable SUBSTITUTIONS (if any)
      • Associate Degree with 7+ years of provider enrollment experience for bachelor's and 5+ years of experience.
    • Patient Group Knowledge (Only applies to positions with direct patient contact)
      • The employee must possess/obtain (by the end of the orientation period) and demonstrate the knowledge and skills necessary to provide developmentally appropriate assessment, treatment or care as defined by the department’s identified patient ages. Specifically the employee must be able to demonstrate competency in: 1) ability to obtain and interpret information in terms of patient needs; 2) knowledge of growth and development; and 3) understanding of the range of treatment needed by the patients.
    • Assigns work to or supervises others
    • Competency Statement
      • Must demonstrate competency through an initial orientation and ongoing competency validation to independently perform tasks and additional duties as specified in the job description and the unit/department specific competency checklist.
    • Minimum Requirement Comments
  • Physical Requirements
    (Essential physical requirements)
    • Activities Requiring Time
    • Lifting
    • Pushing
    • Reaching / Pulling

Job Information

Req #: 20071-16725