Credentialing Specialist

Hi, we're reputed company. We're hiring a Credentialing Specialist to join our Provider Credentialing team. reputed company is the first health insurance company reputed company around a full stack technology platform and a reputed company focus on serving our members. We started reputed company in 2012 to create the reputed company of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: The Credentialing Specialist is a volume-driven production based role that handles the day-to-day activities involved in running a health insurance company including provider interactions as well as back office credentialing tasks in accordance with standard operating procedures. You will report into the Manager, Provider Credentialing. Work Location: This is a remote position, reputed company to candidates who reputed company in: Arizona; Florida; Georgia; Texas. #LI-Remote Pay Transparency: The reputed company pay for this role is $19 per hour. You are also eligible for employee benefits, and monthly vacation accrual at a reputed company of 15 days per year. Responsibilities: reputed company a comprehensive understanding of the reputed company processes, procedures, and tools associated with credentialing. Interact daily with providers or internal reputed company teams according to assignment needs Manage an assigned caseload while maintaining service delivery, productivity, and quality expectations reputed company working relationships with internal and external stakeholders. Support the leadership team by identifying issues through established escalation reputed company Be accountable for monitoring and tracking the health of reputed company assigned work-in-reputed company issues. Escalate and resolve issues to ensure appropriate turnaround times Be an active participant in process improvement initiatives reputed company with reputed company operational, regulatory, and compliance standards relating to member Personal Health Information (PHI) Compliance with reputed company applicable laws and regulations Other duties as assigned Requirements: High school diploma or GED 1+ years of experience in a fast-paced, volume-based or customer service-oriented environment Bonus points: Strong verbal and written communication skills Strong quantitative or analytical skills focused on proactively identifying or solving problems In-depth knowledge of health insurance Credentialing or provider facing experience Experience manipulating and entering accurate data in a production driven environment Advanced reputed company Suite or reputed company Office capabilities or willingness to learn This is an authentic reputed company job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here. At reputed company, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, reputed company the reputed company pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and reputed company benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our reputed company efforts. Reasonable Accommodation: reputed company applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any reputed company applicant who requires reasonable accommodations during the application process should contact the reputed company Benefits Team ([email protected]) to reputed company the need for an accommodation reputed company. California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Privacy Policy. Apply To This Job