Americans with Disabilities Act Requirements

Position Title: Provider Enrollment Specialist/ Department: Provider Enrollment/ CVO Credentialing Specialist Dept

Reports To: President and VP, Operations Salary Range:

Position Summary: Processes credentialing and re-credentialing applications of health care providers in a timely fashion.

Essential Job Functions: 1. Prepare and submit provider enrollment applications to various carriers

2. Will act as liaison between practitioners and Insurance carriers.

3. Perform other clerical & administrative responsibilities as assigned.

4. Conduct written and oral follow up to determine application status

5. Enters accurate and up-to-date data for each applicant into the database

6. Contact all hospital affiliations and managed care organizations to generate a contact name, phone number and fax number.

7. Maintain statistical reports for clients and the management team.

8. Assist with special projects. Perform complex clerical work requiring a high degree of decision-making for Conformance with AIA’s established policies and regulations.

9. Reviews applications and other data for accuracy & completeness.

10. Performs verification of applications by preparing requests for information letters, tracks responses and follows-up for needed information. 11. Contacts licensing agencies, and insurance carriers to complete Credentialing and re-credentialing applications. 12. Enters accurate and up-to-date data for each applicant into the database 13. Contact all hospital affiliations and managed care organizations to generate a contact name, phone number and fax number. 14. Assists with duties such as making copies, faxing, preparing mailings, attending staff meetings.

Essential Job Requirements:

EDUCATION High school graduate at minimum.

EXPERIENCE One year provider enrollment and/or credentialing experience preferred

of 5 REQUIRED SKILLS Computer literacy necessary. Good command of the English language.

PREFERRED SKILLS Credentialing experience preferred. Knowledge of Joint Commission and NCQA Standards.

CONFIDENTIALITY Maintains confidentiality of all records and files. Ensures that data appropriate levels of security, confidentiality and integrity are enforced to protect from intentional destruction, modification, or disclosure.

OTHER Must be extremely detailed oriented. Must have independent judgment and excellent organizational skills. Certain degree of creativity and latitude Requires the verbal, written, quantitive, and interpersonal skills necessary to effectively communicate with clients, Management Team, executives, practitioners, personnel, visitors and vendors. Ability to handle multiple tasks with the maximum efficiency, producing desirable results and meeting deadlines. Ability to adapt in a rapid changing environment. Ability to Prioritize responsibilities, work under pressure and cope with interruptions. Is responsible for meeting with their immediate Supervisor on a weekly basis for updates and communication.

Americans with Disabilities Act Requirements

1. Machines, Tools, Equipment and Work Aids used to complete the Essential Functions of this Position: Materials, Work and Processes and Products:

Travel Required (Mode, area and % time):

2. Extent of Visual Acuity Required: Yes No reading numbers, letters, words, symbols X form/depth perception X color discrimination X observe/operate machinery/equipment X assess distance between objects X

3. Extent of Hearing Acuity Required: Yes No auditory discrimination X able to take instructions X use of a telephone X contact with employees X contact with patients/public X Attend/participate in group meetings X

4. Mental/Cognitive Capabilities: Yes No Verbal ability (conversing with others) X able to comprehend instructions X able to write legibly X comprehend/interpret charts, diagrams, prescriptions X

of 5 inductive and deductive reasoning X

5. Mobility Capabilities Required: Activity Never Occasionally Frequently Continuously (0-30%) (31-65%) (66-100%) Carrying X Sitting X Standing X Walking X Lifting X

6. Mobility Frequency Activity Never Occasionally Frequently Continuously (0-30%) (31-65%) (66-100%) Lift 1-10 lbs X Lift 11-25 lbs X Lift 26 + lbs X Carry 1-10 lbs X Carry 11-25 lbs X Carry 26 + lbs X Bending X Stooping X Kneeling X Climbing Stairs X Crawling X Reach above Shoulders X Walk on uneven surfaces X Pushing/pulling X Reach shoulder and below X Reach extend forward X Balancing X Crouching/Squatti ng X Climbing Ladders X Lift Knee to Shoulder X

7. Employee Use of Hands for Repetitive Action: Activity Never Occasionally Frequently Continuously (0-30%) (31-65%) (66-100%) Torquing X Fine Manipulating X Medium Dexterity X Forearm Rotation X Power Grip X Pushing/Pulling X Bimanual Dexterity X Pinching X

of 5 Gripping X

8. Other Functions: Activity Never Occasionally Frequently Continuously (0-30%) (31-65%) (66-100%) Extreme Noise X Extreme heat X Vibration X Unprotected heights X Moving machinery X Driving Equipment X Foot control mech. X Expos. to dust X Expos. to chemical X Extreme Cold X Change in Temps X Blood Borne Pathogens X Other:______Other:______Other:______

9. Can this Job Be Performed by Alternating Sitting and Standing? X Yes ___No

10. Americans with Disabilities Act Statement External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job specific functions (listed within each job specific responsibility) either unaided or with the assistance of a reasonable accommodation to be determined by the organization on a case-by- case basis.

of 5 LIMITATIONS AND DISCLAIMER

The above job description is meant to describe the general nature and level of work being performed; it is not intended to be construed as an exhaustive list of all responsibilities, duties and skills required for the position.

All job requirements are subject to possible modification to reasonably accommodate individuals with disabilities. Some requirements may exclude individuals who pose a direct threat or significant risk to the health and safety of themselves or other employees.

This job description in no way states or implies that these are the only duties to be performed by the employee occupying this position. Employees will be required to follow any other job-related instructions and to perform other job-related duties requested by their supervisor in compliance with Federal and State Laws.

Requirements are representative of minimum levels of knowledge, skills and/or abilities. To perform this job successfully, the employee must possess the abilities or aptitudes to perform each duty proficiently. Continued employment remains on an “at-will” basis.

Employee’s Name Employee’s Signature

Manager’s Name Title

Manager’s Signature Date

HR USE ONLY

Exempt/Non-Exempt Full-Time/Part-Time Permanent/Temporary/Leased (Circle one) (Circle one) (Circle one)