Remote Credentialing Specialist I

Centene Corporation; Carson City (NV); Remoto; USD 27.000 - 45.000; Tempo pieno

Vantaggi offerti da questo lavoro

Competitive pay

Health insurance

401K & stock purchase plans

Tuition reimbursement

Paid time off

Flexible work arrangements

Descrizione del lavoro

Centene Corporation seeks a Credentialing Specialist to perform credentialing and re-credentialing activities in accordance with plan specifications and NCQA standards in a fully remote role.

You will communicate with physicians and providers to secure information, gather materials for Credentialing Committee meetings, and manage credentialing applications with accuracy in a fast-paced setting.

Competenze

• Associate’s degree, or high school diploma/equivalent and 1+ years of data entry, customer service, medical office, provider data management, credentialing or healthcare operations experience.
• Ability to perform PSV for education verification is strongly preferred.

Mansioni

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

Conoscenze

Data entry

Customer service

Medical office

Provider data management

Credentialing

Education verification

Formazione

Associate’s degree or high school diploma/equivalent

Descrizione del lavoro

Centene Corporation seeks a Credentialing Specialist to perform credentialing and re-credentialing activities in accordance with plan specifications and NCQA standards in a fully remote role.

You will communicate with physicians and providers to secure information, gather materials for Credentialing Committee meetings, and manage credentialing applications with accuracy in a fast-paced setting.