Remote Credentialing Specialist

Insight Global; United States; Remote; USD 50,000 - 60,000; Full time

Benefits offered by this job

Medical insurance

Vision insurance

401(k)

Job summary

A leading staffing agency is seeking a Remote Credentialing Specialist. In this role, you will ensure timely and accurate credentialing file completions, adhere to internal SLAs, and complete primary source verifications. The ideal candidate has at least 2 years of provider credentialing experience, attention to detail, and expertise in GSuites tools. This role offers benefits such as medical and vision insurance, as well as a 401(k).

Qualifications

• 2+ years of provider credentialing experience.
• Experience with CVO and understanding credentialing lifecycle.
• High attention to detail and effective communication.

Responsibilities

• Ensure timely completion of credentialing files.
• Complete primary source verifications.
• Review credentialing files and mark them as ready.

Skills

Provider credentialing experience

Knowledge of NCQA standards

Attention to detail

Expertise in GSuites tools

Organizational skills

Job description

Job Title

Remote Credentialing Specialist

Location

Remote

Salary Range

$50,000 - $60,000 per year

Must Haves

• 2+ years of provider credentialing experience
• Experience working at or with a CVO (Credentialing Verification Organization), understanding the end-to-end credentialing lifecycle
• Knowledge of NCQA standards, delegated credentialing, and/or CAQH workflows.
• High attention to detail including effective communications at all organizational levels
• Demonstrated organizational skills and ability to adhere to timelines and SLA metrics
• Expertise in using GSuites tools include GSheets, GDocs, and GMail
• Experience credentialing behavioral health provider types

Plusses

• Experience working at a startup is a bonus
• Experience working at any of these firms: Radiology Partners, Verisys, Altais, Symplr
• Experience working in a team environment

Role Overview

Our Credentialing team is core to our business and is responsible for making sure all of the licensing and credentialing tasks that we take on for our customers is completed efficiently and accurately. As a Credentialing Specialist, you will be responsible for primary source verifications and ensuring the completion of credentialing files. Your work is critical to creating a seamless onboarding experience for clinicians.

What you’ll do

• Ensure credentialing files are being completed in a timely and accurate manner
• Adhere to Medallion internal SLAs
• Complete primary source verifications
• Education and Board verifications
• State licenses
• Reviewing credentialing files and marking them as ready to complete the credentialing process
• Resolve day-to-day questions and blockers for your team and elevate priority issues when needed
• Participate in team meetings alongside other team members to discuss credentialing issues, provide feedback to product and engineering, and discuss process improvement changes
• Communicate with providers through the credentialing process, assign out tasks and follow up on outstanding tasks

Seniority Level

Associate

Employment Type

Full-time

Job Function

Administrative

Industries

Hospitals and Health Care

Benefits

• Medical insurance
• Vision insurance
• 401(k)