Credentialing/Enrollment Specialist - Remote

Freddie Mac; Las Vegas (NV); Remote; Full time

Job summary

A leading healthcare services organization is seeking a dedicated professional to manage provider credentialing processes. This role offers a supportive remote work environment with opportunities for career advancement. Ideal candidates will have experience in healthcare onboarding and strong organizational skills.

Benefits

Comprehensive benefits package

Equity stock purchase

401k contribution

Incentive and recognition programs

Qualifications

• Minimum of 3 years of healthcare provider group or health plan onboarding/enrollment experience.
• Intermediate proficiency with Microsoft Office Suite and Adobe.

Responsibilities

• Process provider applications for credentialing and re-credentialing.
• Ensure compliance with NCQA, CMS, and state credentialing requirements.

Skills

Organizational Skills

Problem Solving

Collaboration

Education

High School Diploma or GED

Tools

Microsoft Office Suite

Adobe

Job description

Employer Industry: Healthcare Services

Why consider this job opportunity:
- Salary up to $56.06 per hour based on full-time employment
- Comprehensive benefits package, including equity stock purchase and 401k contribution
- Opportunity for career advancement and growth within the organization
- Work remotely with adherence to telecommuter policy
- Supportive and inclusive work environment focused on health equity
- Incentive and recognition programs to reward performance

What to Expect (Job Responsibilities):
- Process provider applications and re-applications for credentialing and re-credentialing
- Track and maintain medical professionals' licensure and certifications
- Solve moderately complex problems and proactively identify solutions
- Work collaboratively with team members to address complex issues
- Ensure compliance with NCQA, CMS, and state credentialing requirements

What is Required (Qualifications):
- High School Diploma or GED
- Minimum of 3 years of healthcare provider group or health plan onboarding/enrollment experience
- Intermediate proficiency with Microsoft Office Suite and Adobe
- Advanced proficiency in researching and complying with payer requirements
- Ability to manage correspondence and perform directory verifications

How to Stand Out (Preferred Qualifications):
- Experience with Primary Source Verification and NPDB
- Familiarity with compliance workflows and NCQA policies
- Knowledge of government regulatory information and CAQH
- Proven ability to work effectively in a fast-paced production environment
- Strong organizational skills and attention to detail

#HealthcareServices #Credentialing #CareerOpportunity #RemoteWork #HealthEquity

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