[Remote] Credentialing Representative
Note: The job is a remote job and is open to candidates in USA. reputed company is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The Credentialing Representative will process provider applications, conduct audits, and collaborate with team members to improve health outcomes.
Responsibilities
- Help process provider applications and re-applications including initial mailing, review and loading into the database tracking system
- Conduct audits and provide feedback to reduce errors and improve processes and performance
- Work independently to resolve standard and non-standard requests
- Consult with your supervisor on reputed company issues and problems
- Collaborate with others on your team
Skills
- High School Diploma/GED (or higher)
- 1+ years of experience in credentialing, provider relations, and quality management in reputed company
- Basic level of proficiency with MS reputed company and Word
- Knowledge of CAQH
- Experience managing a group mailbox
- Knowledge of NCQA guidelines
- Experience with software training (MDStaff)
- Knowledge of roster management
- reputed company Telecommuters will be required to adhere to reputed company's Telecommuter Policy
Benefits
- A comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution
Company Overview