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PURPOSE OF POSITION:
The purpose of your position is to assist the department supervisor and director with day to day operations within Networks, Credentialing and Contracting Departments. It is expected of the employee to develop, implement and maintain an accurate provider data base; analyze provider data, facilitate the preparation and follow-up of the monthly activities of the Membership Services Committee and PEER committee; track and report provider based information using Department databases; and serve as a communication link with Provider offices and other AultCare Departments regarding the status of providers. Other primary responsibilities include help with various compliance and accreditation standards that are constantly evolving throughout the department. Each person will be assigned a focus area of either membership or credentialing within the department.
A level 2 is an experienced staff that has been a go to for co-workers and can often work independently and complete higher-level work to assist supervisor.
A level 3 is an expert regarding department subject matter, must resolve problems with little assistance consistently assist less experienced staff and oversee processes or staff, as well as pay meticulous attention to detail.
Discount Coordinator responsibilities will include negotiating discounts for high dollar claims, NSA claims and single case agreements. This will be accomplished by maintaining excellent communication skills with providers and the Claims Departments.
RESPONSIBILITES/DUTIES/EXPECTATIONS:
The above statements reflect the general duties considered necessary to describe the principle functions of the job as identified and are not a detailed description of all the work requirements that may be inherent in this position.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, disability, gender identity, sexual orientation or protected veteran status. AultCare is an EEO/AA Employer M/F/Disability/Vet.
AultCare/AHF will provide reasonable accommodations to employees or applicants with disabilities, as defined by the Americans with Disabilities Act, who are otherwise qualified to safely perform the essential functions of the job, with or without accommodation, unless such accommodation would constitute an undue hardship on AultCare/AHF or poses a direct threat to the health and safety of the individual or others that cannot be sufficiently mitigated by reasonable accommodation. Any applicant or employee who requires an accommodation to perform the essential functions of his or her job or to enjoy equal benefits and privileges of employment should notify the AultCare Human Resource Department and request such an accommodation.
QUALIFICATIONS
Full Time
$74k-101k (estimate)
04/27/2024
06/25/2024
aultman.com.
Canton, OH
50 - 100