Remote Credentialing Specialist I

Centene Corp.; Oregon; Hybrid; USD 27,000 - 45,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

tuition reimbursement

paid time off plus holidays

flexible approach to work with remote,

Job summary

Centene Corp. in the United States is seeking a credentialing professional for full-time remote work available nationwide. The role covers credentialing and re-credentialing in line with NCQA standards, with collaboration across physicians, providers, and third parties.

Strong data-entry and healthcare operations experience are valued. Salary ranges from $19.43 to $32.98 per hour, with a comprehensive benefits package including health insurance, 401K, tuition reimbursement, and paid time off.

Qualifications

• Associate’s degree or high school diploma with 1+ years in data entry, customer service, medical office, provider data management, credentialing or healthcare operations.
• Ability to perform PSV for education verification is 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.
• 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’s degree

High school diploma/equivalent

Job description

Centene Corp. in the United States is seeking a credentialing professional for full-time remote work available nationwide. The role covers credentialing and re-credentialing in line with NCQA standards, with collaboration across physicians, providers, and third parties.

Strong data-entry and healthcare operations experience are valued. Salary ranges from $19.43 to $32.98 per hour, with a comprehensive benefits package including health insurance, 401K, tuition reimbursement, and paid time off.