Remote Credentialing Specialist I

Centene Corp.; New York (NY); Remote; USD 27,000 - 45,000; Full time

Job summary

Centene Corp. is hiring for a credentialing-related role that is fully remote and open to candidates nationwide.

You will perform credentialing and re-credentialing activities, communicating with physicians and office managers to gather required information and preparing materials for Credentialing Committee meetings. The position requires an Associate degree or high school diploma with 1+ years in data entry, customer service, medical office, credentialing, or related healthcare operations.

Qualifications

• 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, preferably in a managed care or insurance environment.
• PSV for education verification strongly preferred.

Responsibilities

• 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.
• Ability to thrive in a fast-paced production environment while maintaining quality.
• Ability to perform PSV for education verification.

Skills

Data entry

Customer service

Medical office

Provider data management

Credentialing

Healthcare operations

Education

Associate degree or high school diploma

Job description

Centene Corp. is hiring for a credentialing-related role that is fully remote and open to candidates nationwide.

You will perform credentialing and re-credentialing activities, communicating with physicians and office managers to gather required information and preparing materials for Credentialing Committee meetings. The position requires an Associate degree or high school diploma with 1+ years in data entry, customer service, medical office, credentialing, or related healthcare operations.