Remote Credentialing & Provider Contracting Specialist

TRISTAR MANAGED CARE INC; South Carolina; Hybrid; USD 45,000 - 60,000; 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 MANAGED CARE INC is seeking a Credentialing and Contracting Specialist responsible for managing contracts and credentialing databases. This full-time role involves tasks such as reviewing applications for accuracy and compliance, performing document verification, and maintaining provider files.

The ideal candidate will have strong communication skills, expertise in credentialing processes, and proficiency in Microsoft Office applications. Benefits include medical and dental insurance, 401(k) plans, and paid time off.

Qualifications

• Excellent written and oral communication skills.
• Strong customer service orientation.
• Proficiency in medical provider credentialing policies.
• Ability to manage confidential information.
• Advanced knowledge of Microsoft Office applications.

Responsibilities

• Review credentialing applications for completeness.
• Perform primary source verification of documents.
• Maintain provider contract files accurately.
• Monitor compliance with accreditation requirements.
• Enter and maintain data in the credentialing database.

Skills

Excellent written and oral communication skills

Strong customer service orientation

Proficiency in medical provider credentialing principles

Independent judgment

Advanced knowledge of Microsoft Word and Excel

Ability to learn new applications

Organized and able to prioritize tasks

Education

High school diploma or equivalent

Tools

Microsoft Word

Microsoft Excel

Outlook

Job description

TRISTAR MANAGED CARE INC is seeking a Credentialing and Contracting Specialist responsible for managing contracts and credentialing databases. This full-time role involves tasks such as reviewing applications for accuracy and compliance, performing document verification, and maintaining provider files.

The ideal candidate will have strong communication skills, expertise in credentialing processes, and proficiency in Microsoft Office applications. Benefits include medical and dental insurance, 401(k) plans, and paid time off.