General Description:

This position will be a dual role both within the Credentialing Department and supporting events/fundraising for our Charitable Foundation. Specifically, to perform internal credentialing, re-credentialing and insurance credentialing of PHN providers and sites. He/she is also responsible for handling the credentialing of all providers and sites with insurance companies. In addition, will focus on the Foundation’s current and potential fundraising events with a goal of increasing and sustaining charitable resource.

Location and Hours of Position

The general office hours for this position is 8:00 AM-4.30 PM. The position is located in Lewistown, PA

Credentialing Duties:

• Complete the internal credentialing and re-credentialing process for providers

• Completes all Medicare/Medicaid revalidation site applications

• Completes credentialing and re-credentialing applications with the various insurance companies and monitors the progress of these applications

• Learn and update credentialing software-One App

• Apply and update E.H.R. incentive program (meaningful use)

• Maintains provider’s credentialing files and makes sure that the information contained in them is up to date and shared with the Human Resource Department

• Builds strong working relationships with the provider relations representatives at the major insurance companies

• Review insurance updates and attend meetings with insurance carriers and representatives from insurance companies

• Reviews claims rejected due to credentialing issues and works with appropriate companies for resolution

• Perform general clerical duties to include but not limited to photocopying, faxing, mailing and filing

• Assists other departments as deemed appropriate and as time allows

• Maintains confidentiality and integrity of PHN patients, employees and/or organizational information

Event Coordinator Duties:

• Plan, develop and implement PHNCF internal and external events.
• Coordinate with selected off-site planners for special events.
• Develops intermittent events and fundraising opportunities.
• Preparing event budget.
• Oversee contractors, caterers, volunteers and other staff involved in the event.
• Ensuring the event meets all health, safety and building standards.
• Acts as an important liaison to the community to find potential supporters.
• Will have the ability to learn about PHN to market them to the community.
• Assist in the development of the database of sponsors and track “giving” patterns.
• Manage multiple projects at one time
• Assist with the development of promotional materials for events.
• Attend meetings as required, keep minutes, and distribute in a timely fashion.
• Create and modify documents.
• Perform general clerical duties to include but not be limited to photocopying, faxing, mailing, and filing.
• Support staff in assigned project based work.
• Interact with PHN staff as necessary.
• Other duties as required.

Qualifications:

• Computer literate in Microsoft Office including Word, Publisher, Excel, Outlook and Power Point.
• Excellent Interpersonal Skills.
• Travel to off-site areas to plan event. Some evening and weekend work may be necessary.
• Detail oriented with a good attention to detail.
• Works well under pressure.
• Able to prioritize work load.
• Able to work both independently and in a team environment
• Excellent written and verbal communication skills.
• Highschool graduate or equivalent

Benefits

• 8 paid holidays
• Medical/Dental/Vision (Employee and Family plans available, eligible after 60 days)
• Employer Paid Short Term disability
• Employer Paid Life Insurance
• Retirement Plan
• Paid Time Off
  

• College Savings Plan
• Fitness Center Membership Reimbursement
• ID Shield & Legal Shield
• Volunteer Time Off Program
• Work from home flexibility

Primary Health Network is an Equal Opportunity Employer (EOE).

PHNIND