Credentialing Specialist - NV Licensed

UnitedHealth Group, Inc.; United States; Remote; USD 45,000 - 60,000; Full time

Job summary

A leading healthcare company is looking for a Credentialing and Enrollment Representative to manage credentialing processes remotely. Candidates should have over 3 years of experience in healthcare provider credentialing and knowledge of healthcare administration. Key tasks include processing credentialing files, conducting audits, and maintaining professionals' licensure. This role ensures compliance and efficiency in the credentialing process.

Qualifications

• 3+ years of healthcare provider group/facility credentialing experience.
• Experience in healthcare administration and medical staff services.
• Knowledge of credentialing processes and relevant software.

Responsibilities

• Process credentialing and re-credentialing of physicians and providers.
• Conduct internal audits on credentialing files.
• Maintain and track medical professionals' licensure and certifications.

Skills

Healthcare provider group/facility credentialing

Healthcare administration

Medical staff services

Credentialing processes

Microsoft Excel

Microsoft Word

Job description

A company is looking for a Credentialing and Enrollment Representative - Remote.

Key Responsibilities:

• Process credentialing and re-credentialing of physicians and providers, ensuring compliance with standards
• Conduct internal audits on credentialing files for accuracy and compliance with policies
• Maintain and track medical professionals' licensure and certifications while advising on renewal steps

Required Qualifications:

• 3+ years of healthcare provider group/facility credentialing experience
• Experience in healthcare administration and medical staff services
• Knowledge of credentialing processes and relevant software or databases
• Intermediate proficiency with Microsoft Excel and Word