Remote Credentialing Specialist: Provider Relations

Feitong Buke; Las Vegas (NV); On-site; USD 35,390 - 43,311; Full time

Benefits offered by this job

Medical

Dental

Vision

Paid Time-Off (PTO)

401(k)

Tuition Assistance

Employee Assistance Program (EAP)

Job summary

UNITE HERE HEALTH in Las Vegas, NV, is seeking a Credentialing Specialist to manage provider credentialing processes for a network of 5000 providers. The role involves developing relationships with vendors, coordinating with verification organizations, and maintaining essential databases.

Ideal candidates will have 3-5 years of experience, a Bachelor's degree, and strong communication skills. The position offers a range of benefits and a work schedule from Monday to Friday, 8am to 4pm.

Qualifications

• 3-5 years of direct experience in credentialing and provider relations.
• Complete understanding of physician contracts and reimbursement protocols.
• Current knowledge of NCQA credentialing standards.

Responsibilities

• Develop and maintain relationships with providers and vendors.
• Responsible for all aspects of provider credentialing.
• Coordinate with Credentialing Verification Organization for timely processing.

Skills

Efficient with contracting software

Exceptional written and verbal communication skills

Working knowledge of medical terminology

Understanding of physician contracts

Education

Bachelor's degree or related field

Job description

UNITE HERE HEALTH in Las Vegas, NV, is seeking a Credentialing Specialist to manage provider credentialing processes for a network of 5000 providers. The role involves developing relationships with vendors, coordinating with verification organizations, and maintaining essential databases.

Ideal candidates will have 3-5 years of experience, a Bachelor's degree, and strong communication skills. The position offers a range of benefits and a work schedule from Monday to Friday, 8am to 4pm.