Remote Credentialing & Provider Contracting Specialist

Tristar Insurance; South Carolina; Hybrid; USD 40,000 - 55,000; Full time

Benefits offered by this job

Medical, Dental, Vision Insurance

Life & Disability Insurance

Paid time off and paid holidays

401(k) plan

Referral bonus

Job summary

Tristar Insurance is looking for a Credentialing and Contracting Specialist to join their team. This role focuses on preparing and maintaining contracts, managing credentialing applications, and ensuring compliance with state regulations.

The ideal candidate should have excellent communication skills, a strong customer service orientation, and proficiency in credentialing processes. The position offers benefits like medical, dental, vision insurance, and a 401(k) plan.

Qualifications

• Excellent written and oral communication skills.
• Strong customer service orientation and timely email response.
• Experience with Outlook, Word, Excel and credentialing documentation.

Responsibilities

• Review and screen credentialing applications for accuracy and compliance.
• Perform primary source verification and validate crucial documents.
• Maintain provider contract files and resolve discrepancies.
• Monitor file completeness and accuracy for accreditation.

Skills

Excellent written and oral communication skills

Strong customer service orientation

Proficiency in medical provider credentialing

Independent judgment and managing confidential information

Advanced knowledge of Microsoft Word and Excel

Ability to prioritize multiple tasks

Education

High school diploma or equivalent

Tools

Microsoft Word

Microsoft Excel

Outlook

Job description

Tristar Insurance is looking for a Credentialing and Contracting Specialist to join their team. This role focuses on preparing and maintaining contracts, managing credentialing applications, and ensuring compliance with state regulations.

The ideal candidate should have excellent communication skills, a strong customer service orientation, and proficiency in credentialing processes. The position offers benefits like medical, dental, vision insurance, and a 401(k) plan.