Remote Credentialing Specialist - Managed Care Enrollment

Cardinal Health; Cheyenne (WY); Remoto; USD 25.000 - 41.000; Tempo pieno

Vantaggi offerti da questo lavoro

Health coverage

401k

PTO

HSA

MyFlexPay

FSAs

Disability insurance

Work-Life resources

Parental leave

Wellness programs

Descrizione del lavoro

Cardinal Health's Navista division seeks a Coordinator, Managed Care, Credentialing to support credentialing and enrollment across payer networks. This role ensures active enrollment status for all providers and maintains licensure accuracy across regions.

You will track credentialing activity, coordinate provider enrollments, and monitor deadlines in a fast-paced environment. Qualified candidates have 3+ years in credentialing or payer enrollment, strong Excel/Word skills, and the ability to

Competenze

• At least three (3) years of experience of credentialing or payer enrollment experience in a managed care or provider setting, including experience using a credentialing database preferred
• Specific knowledge of the payer environment and payer issues
• Ability to work a flexible schedule (including overtime, and weekends), as necessary
• Excellent customer service and communication skills
• Ability to work independently and as part of a team
• Working experience with Excel spreadsheets and Microsoft Word documents
• College degree or commensurate working experience in healthcare preferred
• Credentialing database experience (such as IntelliCred, E-Vips, Vistar, Cactus, Symed, etc.) preferred

Mansioni

• Responsible for documenting and tracking all credentialing/enrollment, re-credentialing/re-enrollment, and hospital privileging activities within the credentialing platform
• Maintain and monitor all licenses and certifications in the credentialing platform to ensure compliance within all regions.
• Participate in training sessions and special projects such as learning new system workflows, completing required training, and adopting updated processes within established timeframes.
• Coordinate provider enrollment activities (including initial enrollments or re-credentialing) for all groups and providers.
• Ensure all facility and provider licenses and certifications are accurate and in good standing at all times.
• Complete all forms and supporting documents required to obtain hospital privileges for physicians, as necessary.
• Ensure that all processing and reporting deadlines are consistently achieved.
• Meet regularly with Credentialing Supervisor and other team members to provide updates on progress and status of credentialing and enrollment matters.
• Performs any other functions as required by management.

Conoscenze

Credentialing experience

Payer enrollment

Excel

Microsoft Word

Customer service

Communication skills

Formazione

College degree or commensurate healthcare experience

Strumenti

IntelliCred

E-Vips

Vistar

Cactus

Symed

Descrizione del lavoro

Cardinal Health's Navista division seeks a Coordinator, Managed Care, Credentialing to support credentialing and enrollment across payer networks. This role ensures active enrollment status for all providers and maintains licensure accuracy across regions.

You will track credentialing activity, coordinate provider enrollments, and monitor deadlines in a fast-paced environment. Qualified candidates have 3+ years in credentialing or payer enrollment, strong Excel/Word skills, and the ability to