Program Specialist 2
Available Title(s):
107I-YN_CS_NPS - Program Specialist 2Business Title:
Program Specialist 2Employee Type:
ClassifiedTime Type:
Full timePosition Term:
12 MonthPosition 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 Specialistcoordinates 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:
A Bachelor's degree OR equivalent education/experience.
Two years of full-time experience working with medical records.
Knowledge and understanding of medical terminology.
Experience working with or knowledge of the RCW (chapter 70.
02) and the HIPAA of 1996, pertaining to the release of protected health information.
Documented on-the-job experience in a medical clinic.
Preferred
Qualifications:
Knowledge and use of Point and Click medical software or other computerized medical records.
Experience using MS Office applications including Word, Excel, Outlook and Access.
Additional Information:
Area/College:
Student AffairsDepartment Name:
Cougar Health ServicesCity, State, Zip:
Pullman, WA 99164Department Link:
https:
//cougarhealth.
wsu.
edu/ />Monthly Salary:
Range 42 $3,537 - $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 eligibleFTE:
100%This is a Permanent position.
Posting Close Date:
Applicants must submit their completed application by Monday, August 21, 2023 at 11:
59 p.
m.
PST.
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.
External candidates, please upload all documents in the Resume/CV section of your application.
Internal candidates, please upload all documents in the Resume/Cover Letter section of your application.
Documents may be submitted in one file or separate files.
Applicants are encouraged to upload as a PDF if possible.
Applicants will be requested to provide contact information for professional references within the online application.
Required Documents:
Resume/CV Cover Letter 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 email protected .
Recommended Skills Credentialing Education Immigration Medical Records Medical Terminology Microsoft Excel Estimated Salary: $20 to $28 per hour based on qualifications.
107I-YN_CS_NPS - Program Specialist 2Business Title:
Program Specialist 2Employee Type:
ClassifiedTime Type:
Full timePosition Term:
12 MonthPosition 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 Specialistcoordinates 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:
A Bachelor's degree OR equivalent education/experience.
Two years of full-time experience working with medical records.
Knowledge and understanding of medical terminology.
Experience working with or knowledge of the RCW (chapter 70.
02) and the HIPAA of 1996, pertaining to the release of protected health information.
Documented on-the-job experience in a medical clinic.
Preferred
Qualifications:
Knowledge and use of Point and Click medical software or other computerized medical records.
Experience using MS Office applications including Word, Excel, Outlook and Access.
Additional Information:
Area/College:
Student AffairsDepartment Name:
Cougar Health ServicesCity, State, Zip:
Pullman, WA 99164Department Link:
https:
//cougarhealth.
wsu.
edu/ />Monthly Salary:
Range 42 $3,537 - $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 eligibleFTE:
100%This is a Permanent position.
Posting Close Date:
Applicants must submit their completed application by Monday, August 21, 2023 at 11:
59 p.
m.
PST.
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.
External candidates, please upload all documents in the Resume/CV section of your application.
Internal candidates, please upload all documents in the Resume/Cover Letter section of your application.
Documents may be submitted in one file or separate files.
Applicants are encouraged to upload as a PDF if possible.
Applicants will be requested to provide contact information for professional references within the online application.
Required Documents:
Resume/CV Cover Letter 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 email protected .
Recommended Skills Credentialing Education Immigration Medical Records Medical Terminology Microsoft Excel Estimated Salary: $20 to $28 per hour based on qualifications.
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