Credentialing Specialist I

Centene Corporation; Carson City (NV); Remote; USD 27,000 - 45,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K & stock purchase plans

Tuition reimbursement

Paid time off

Flexible work arrangements

Job summary

Centene Corporation seeks a Credentialing Specialist to perform credentialing and re-credentialing activities in accordance with plan specifications and NCQA standards in a fully remote role.

You will communicate with physicians and providers to secure information, gather materials for Credentialing Committee meetings, and manage credentialing applications with accuracy in a fast-paced setting.

Qualifications

• Associate’s degree, or high school diploma/equivalent and 1+ years of data entry, customer service, medical office, provider data management, credentialing or healthcare operations experience.
• Ability to perform PSV for education verification is strongly preferred.

Responsibilities

• Perform credentialing and re-credentialing activities according to plan specifications and in compliance with NCQA standards
• Communicate with professionalism with physicians, office managers, providers, and other third parties to secure needed information
• Gather information for Credentialing Committee meetings
• Process, track and file credentialing applications within established standards
• Generate and utilize reporting to support business functions
• Ability to thrive in a fast-paced production environment while maintaining quality
• Ability to perform PSV for education verification

Skills

Data entry

Customer service

Medical office

Provider data management

Credentialing

Education verification

Education

Associate’s degree or high school diploma/equivalent

Job description

Business Area

Administrative & Claims Operations

Job Type

Full time

Position Purpose

Perform credentialing and related activities based on plan specifications

Key Details

This is a fully remote role and is open to candidates nationwide.

• Perform credentialing and re-credentialing activities according to plan specifications and in compliance with NCQA standards
• Communicate with professionalism with physicians, office managers, providers, and other third parties to secure needed information
• Gather information for Credentialing Committee meetings
• Process, track and file credentialing applications within established standards
• Generate and utilize reporting to support business functions
• Ability to thrive in a fast-paced production environment while maintaining quality
• Ability to perform PSV for education verification

Education/Experience

Associate’s degree, or high school diploma/equivalent and 1+ years of data entry, customer service, medical office, provider data management, credentialing or healthcare operations (i.e. claims processing, billing, provider relations or contracting) experience, preferably in a managed care or insurance environment. Ability to perform PSV for education verification is strongly preferred.

Pay Range: $19.43 - $32.98 per hour

Company Culture

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

Benefits

• competitive pay
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• a flexible approach to work with remote, hybrid, field or office work schedules

Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Equal Opportunity

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act