Credentialing Specialist

Credentialing Specialist - FULLY REMOTE POSITION

PLEASE DO NOT APPLY IF YOU LIVE IN CALIFORNIA

Medix Healthcare

Phoenix - Arizona (USA)

EQUIPMENT PROVIDED

$21.00-$25.00 an hour - Full-time

Job Details

Hourly

$21.00-$25.00 an hour

Job Type

Full-time

Qualifications

• High School Diploma or GED
• 2-3 years credentialing experience, preferably in a managed care setting, hospital, health plan
• Detail oriented
• Experience with adobe and microsoft office
• Knowledge of NCQA standards and payer credentialing standards

Full Job Description

Are you looking to get your foot in the door with a large Insurance organization nationwide? We are looking to hire Credentialing Specialist individuals to directly support our patients and clients! The best part is that this is a FULLY REMOTE role, and we are truly looking for someone who has a passion to help others every single day. You will get the chance to be part of an ever-growing company that is a continuous leader in the medical field across all states and specialties. Apply to get your name in the mix!

What we provide to you as a full-time teammate:

We offer a competitive benefits package that is on par with most of the leading healthcare organizations, along with a 401K plan. Apply today if you are interested in getting your name in the mix!

Requirements

Essential Duties and Responsibilities: Include the following, other duties may be assigned.

As a Credentialing Specialist, you will...

• Facilitate provider onboarding efforts including, but not limited to importing data from CVO into systems
• Review all information for completeness and screen for "red flag" items. Forward red flag items for action
• Performs timely follow-up with providers on pending applications/information
• Builds and accurately maintains provider information in various systems
• Responds to inquiries regarding the status of provider's application
• Utilizes organizational templates to communicate with providers about the status of their application with the organization

Expectations of Performance: The employee in this role shall be considered to be performing in an acceptable manner when carrying out the Core Values:

• Customer Service
• Positive Attitude
• Reliable
• Tech Savvy

Training:

• 3-4 week period, virtually

Education and/or Experience:

• High School Diploma or GED
• 2-3 years credentialing experience, preferably in a managed care setting, hospital, health plan
• Detail oriented
• Experience with adobe and microsoft office
• Knowledge of NCQA standards and payer credentialing standards

Computer Skills: To perform this job successfully, an individual should have knowledge of basic office equipment such as: "EMR" System, EPIC (electronic medical record system), computer, internet, email, copy and fax machines, and telephone.

Job Type: Full-time

Pay: $21.00-$25.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Can work in any time zone 7AM-9AM start time (Flexible). They also have the option to have overtime and work on Saturday, right now the team is working every other Saturday if you are on specific projects.

Experience:

• High School Diploma or GED
• 2-3 years credentialing experience, preferably in a managed care setting, hospital, health plan
• Detail oriented
• Experience with adobe and microsoft office
• Knowledge of NCQA standards and payer credentialing standards

#MedixMW