Remote Credentialing Specialist I

Centene; United States; Remote; USD 27,000 - 45,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off + holidays

Remote work with flexible schedules

Job summary

Centene is looking for a Credentialing Specialist to perform credentialing and re-credentialing activities according to plan specifications and NCQA standards. You will communicate with physicians, office managers, providers, and other third parties to secure needed information and gather data for Credentialing Committee meetings.

This fully remote role is open to candidates nationwide. The position requires experience in data entry, provider data management, and healthcare operations, with PSV

Qualifications

• Experience in credentialing or healthcare operations preferred.
• Ability to perform PSV for education verification.
• Experience with data entry and provider data management systems.

Responsibilities

• Perform credentialing and re-credentialing activities per plan and NCQA standards.
• Communicate professionally with physicians, office managers, providers and third parties.
• Gather information for Credentialing Committee meetings.
• Process, track and file credentialing applications within 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 verification PSV

Education

Associate's degree or HS diploma + 1+ years experience

Job description

Centene is looking for a Credentialing Specialist to perform credentialing and re-credentialing activities according to plan specifications and NCQA standards. You will communicate with physicians, office managers, providers, and other third parties to secure needed information and gather data for Credentialing Committee meetings.

This fully remote role is open to candidates nationwide. The position requires experience in data entry, provider data management, and healthcare operations, with PSV