Credentialing Specialist I

Centene Corporation; Nevada; Remoto; USD 27.000 - 45.000; Tempo pieno

Vantaggi offerti da questo lavoro

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Remote work options (remote, hybrid,,?

Descrizione del lavoro

Centene is seeking a Credentialing Specialist to perform credentialing and re-credentialing in line with NCQA standards. This fully remote role is open to candidates nationwide, with opportunities to liaise with physicians, office managers, providers, and other third parties to gather needed information.

You will gather materials for Credentialing Committee meetings, process and track applications, and generate reports to support business functions.

Competenze

• Associate degree or high school diploma/equivalent with 1+ years in data entry, customer service, medical office, provider data management, credentialing or healthcare operations.
• Experience in a managed care or insurance environment is preferred.
• PSV for education verification is strongly preferred.

Mansioni

• Perform credentialing and re-credentialing according to plan specifications and NCQA standards.
• Communicate professionally with physicians, office managers, providers and 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.
• Thrive in a fast-paced production environment while maintaining quality.
• Perform PSV for education verification.

Conoscenze

Data entry

Customer service

Provider data management

Credentialing

Healthcare operations

Formazione

Associate degree / high school diploma

Descrizione del lavoro

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

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.

Centene offers a comprehensive benefits package including:

• 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.

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