Remote Credentialing Specialist for Providers

Sagility India Private Ltd; El Paso (TX); À distance; USD 42 000 - 54 000; Plein temps

Avantages offerts par ce poste

Medical, Dental, and Vision coverage.

Life Insurance.

Short-Term and Long-Term Disability.

401(k) with employer contribution.

Paid Time Off (PTO).

Tuition Reimbursement.

Résumé du poste

BroadPath, a Sagility Company, is hiring experienced Credentialing Specialists to join our remote team. This Work from Home role supports health plan operations by ensuring timely, accurate provider credentialing and maintaining compliance with internal standards and external regulations.

The position offers base pay starting at $20 per hour with weekly pay, and schedules may vary within Eastern Time hours.

Qualifications

• 1+ years of provider credentialing experience for a health plan.
• Strong organizational and time management skills.
• Ability to meet deadlines and handle high-volume work.
• Able to work independently and in a team setting.
• Strong attention to detail and problem-solving skills.
• Familiarity with NCQA, CMS, and state credentialing standards.
• Excellent written, verbal, and interpersonal communication skills.

Responsabilités

• Verify provider credentials through approved sources in a timely and accurate manner.
• Track and process credentialing and re-credentialing applications.
• Enter and update provider information in the credentialing database.
• Maintain and update provider demographics.
• Monitor and manage data from delegated entities.
• Communicate with providers or their office staff regarding credentialing status and required documentation.
• Identify and report non-compliance or credentialing issues to the supervisor.
• Ensure confidentiality of sensitive data and documents.
• Perform other duties as assigned.

Connaissances

Provider credentialing

Time management

Deadlines

Teamwork

Attention to detail

Credentialing standards

Communication

Description du poste

BroadPath, a Sagility Company, is hiring experienced Credentialing Specialists to join our remote team. This Work from Home role supports health plan operations by ensuring timely, accurate provider credentialing and maintaining compliance with internal standards and external regulations.

The position offers base pay starting at $20 per hour with weekly pay, and schedules may vary within Eastern Time hours.