Remote Credentialing Associate - Healthcare Ops

Centene Corporation; Arizona; 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

Flexible approach to remote/hybrid/ons

Descrizione del lavoro

Centene Corporation is seeking a credentialing specialist for a fully remote role open to candidates nationwide. Responsibilities include credentialing and re-credentialing per NCQA standards, communicating with physicians and providers, gathering information for Credentialing Committee meetings, and processing credentialing applications with accurate reporting.

The position emphasizes accuracy in a fast-paced environment and PSV for education verification.

Competenze

• Associate’s degree or high school diploma with 1+ year data entry or credentialing experience.
• Experience in healthcare operations or managed care preferred.
• Ability to perform PSV for education verification.

Mansioni

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

Conoscenze

Data entry

Customer service

Medical office

Provider data management

Credentialing

Healthcare operations

Formazione

Associate's degree

High school diploma

Descrizione del lavoro

Centene Corporation is seeking a credentialing specialist for a fully remote role open to candidates nationwide. Responsibilities include credentialing and re-credentialing per NCQA standards, communicating with physicians and providers, gathering information for Credentialing Committee meetings, and processing credentialing applications with accurate reporting.

The position emphasizes accuracy in a fast-paced environment and PSV for education verification.