Remote Credentialing Specialist I

Centene Corporation; Missouri; Remoto; USD 27.000 - 45.000; Tempo pieno

Vantaggi offerti da questo lavoro

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work schedules (remote/hybrid

Descrizione del lavoro

Centene Corporation is seeking a Credentialing Specialist for a fully remote role open to candidates nationwide. The role involves credentialing and re-credentialing activities in line with plan specifications and NCQA standards.

You will communicate with physicians, office managers, providers, and third parties to obtain required information, prepare materials for Credentialing Committee meetings, and manage documentation and reporting. PSV for education verification is preferred.

Competenze

• Associate degree or equivalent plus 1+ year experience in data entry, customer service, medical office, provider data management, credentialing or healthcare operations.
• Experience preferred in managed care or insurance environments.
• 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 professionally 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.
• Thrive in a fast-paced production environment while maintaining quality.
• Perform PSV for education verification.

Conoscenze

Data entry

Customer service

Provider data management

Credentialing

Healthcare operations

Formazione

Associate’s degree or high school diploma/equivalent

Descrizione del lavoro

Centene Corporation is seeking a Credentialing Specialist for a fully remote role open to candidates nationwide. The role involves credentialing and re-credentialing activities in line with plan specifications and NCQA standards.

You will communicate with physicians, office managers, providers, and third parties to obtain required information, prepare materials for Credentialing Committee meetings, and manage documentation and reporting. PSV for education verification is preferred.