Remote Credentialing Specialist I

Centene Corporation; North Carolina; À distance; USD 27 000 - 45 000; Plein temps

Avantages offerts par ce poste

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off + holidays

Remote/hybrid/office work schedules

Résumé du poste

Centene Corporation is hiring for a fully remote credentialing role, open to candidates nationwide in the United States. The position involves credentialing and re-credentialing activities per plan specs and NCQA standards, with extensive interaction with physicians, office managers, and providers.

The role supports reporting, quality, and education verification processes in a fast-paced environment. Pay range is $19.43–$32.98 per hour, with flexible remote/hybrid/office schedules.

Qualifications

• 1+ years of data entry, customer service, medical office, provider data management, credentialing or healthcare operations experience.
• Experience in managed care or insurance environment preferred.
• Ability to perform PSV for education verification is strongly preferred.

Responsabilités

• 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.
• Ability to perform PSV for education verification.

Connaissances

Data entry

Customer service

Medical office

Provider data management

Credentialing

Healthcare operations

PSV education verification

Formation

Associate’s degree or high school diploma/equivalent

Description du poste

Centene Corporation is hiring for a fully remote credentialing role, open to candidates nationwide in the United States. The position involves credentialing and re-credentialing activities per plan specs and NCQA standards, with extensive interaction with physicians, office managers, and providers.

The role supports reporting, quality, and education verification processes in a fast-paced environment. Pay range is $19.43–$32.98 per hour, with flexible remote/hybrid/office schedules.