Credentialing Administrative Assistant Temp

Brown & Toland Oakland, CA
ESSENTIAL JOB FUNCTIONS:

* Provides general administrative/clerical support; provides overall organizational support. Creates and prepares files for Credentialing Committee. Handles telephone calls as back up for the division and acts as triage to appropriate departments within the company.

* Establishes and maintains credentialing department filing systems to include files, chronological files, tickler system, and committee and publication binders. Responsible for sending and receiving files at off-site storage location.

* Responsible daily for incoming and outgoing mail; collection and distribution of payroll checks to division in a timely manner. Coordinates large mailing projects to physicians including management of material gathering, the training of internal staff to ensure mailing deadlines are met.

* Responsible monthly for processing all expirables (i.e. Medical Board of California, Drug Enforcement Agency, specialty board certifications, and malpractice insurance) to include updating the Credentialing Database.

* Responsible for processing credentialing/recredentialing applications accurately and promptly in accordance with Brown and Toland policies and procedures, health plan delegation requirements and NCQA standards.

* Responsible for accurate input and modifications to the Credentialing Database.

* Prepare materials and files necessary to comply with external audits by payors and/or governmental agencies. Disseminate new/modified professional information to HMOs and to Brown and Toland departments.

* Responsible for purchasing supplies, maintaining subscriptions, check requests, faxing, scanning, and expense reports for the division.

MARGINAL FUNCTIONS:

Accept and perform other duties as assigned.

QUALIFICATIONS & REQUIREMENTS:

* Job related Knowledge, Skills, and Abilities, including Documentation, if pertinent.

* Excellent organization and administrative skills

* Able to prioritize many tasks and exhibit excellent, mature judgment

* Attention to detail

* Creative, Problem-solving, and Innovation Skills.

* Able to independently problem solve

* Customer Focused and Communication Skills.

* Communicate professionally and effectively, within a timely manner

* Able to follow through on requests from internal and external person,

* Able to be flexible to accommodate changes in priorities and the departments needs

EDUCATION AND/OR TRAINING: High school graduate. Proficient in Microsoft Office Outlook and Word. Performs all office functions accurately within reasonable limits based upon established needs and specified deadlines.

EXPERIENCE: Working in an office setting and providing clerical support, preferable in a medical office and/or managed care organization.

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