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Specialist, Nursing Network (Remote)
- Walgreens (Deerfield, IL)
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Job Description:
Job Summary
Serves as an adjunct subject matter expert in providing direction for maintaining the database for housing nursing subcontracted provider's credentialing and contracting documents. Administers the scheduling module for tracking all nursing visits and assists with tracking of clinical documentation from the field. Authorizes nursing visits to ensure accurate processing of nursing billing and invoices for timely payment.
Job Responsibilities
+ Manages the subcontract mailbox, file attachments per process flow, and manage the mailbox distribution list.
+ Assesses agency compliance with credentialing documents and distribution lists; processes contracts from initial data entry through contract finalization, as directed and per protocol.
+ Coordinates and maintains educational in-service and orientation tracking for agency field clinicians.
+ Manages workflow processes within contracting application.
+ Administers and ensures timely scheduling of agency visits; follows-up with missing clinical documentation to ensure complete medical records, and timely processing of nursing billing and invoices for payment.
+ Authorizes all nursing visits to the nursing providers, tracks expiring authorizations and communicates the need for further authorization to the insurance verification team.
+ Maintains physician order tracking program and runs required reports per schedule and works them to completion in a timely manner.
+ Other responsibilities as judgment or necessity dictate.
About Walgreens
Founded in 1901, Walgreens (www.walgreens.com) has a storied heritage of caring for communities for generations and proudly serves nearly 9 million customers and patients each day across its approximately 8,500 stores throughout the U.S. and Puerto Rico, and leading omni channel platforms. Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for retail pharmacy and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities.
**Job ID:** 1652756BR
**Title:** Specialist, Nursing Network (Remote)
**Company Indicator:** Walgreens
Employment Type:
**Job Function:** Customer Contact Center
**Full Store Address:** 108 WILMOT ROAD,DEERFIELD,IL 60015
**Full District Office Address:** 108 WILMOT ROAD,DEERFIELD,IL,60015-05108-00001-Y
External Basic Qualifications:
+ High School Diploma or GED.
+ 2 years' work experience in healthcare, customer service or related field.
+ Experience working with contracting and contract administration.
+ Relevant experience in specialty pharmacy, home infusion, home health care.
+ Good verbal and written communication and interpersonal skills, with the ability to communicate in a diplomatic and confidential manner.
+ Strong initiative with the ability to work in a team environment.
Preferred Qualifications:
+ Associate or bachelor's degree in healthcare or related field of study
+ Experience working in contracting databases, primarily SalesForce
+ Pharmacy Technician License
We will consider employment of qualified applicants with arrest and conviction records.
An employee in this position can expect an hourly rate between $12.38/hour and $26.40/hour. The actual salary will depend on experience, seniority, geographic location, and other factors permitted by law. This job posting will remain open for 5 days from the job posting date. To review benefits, please click here jobs.walgreens.com/benefits. If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits.
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