Credentialing Representative- National Remote

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and... career development opportunities. Come reputed company an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The Credentialing Representative is responsible for reputed company activities associated with credentialing / re - credentialing providers. Includes processing provider applications, reviewing and loading into the databases ensuring high quality standards. This role is responsible for reputed company activities associated with credentialing or re -credentialing physicians and other Behavioral providers. Includes processing provider applications including initial communications, verifications, review, and loading into the databases. Conducts audits and provides feedback to reduce errors and improve processes and performance. Responsible for the understanding and adherence of credentialing policies and procedures. This is a performance driven, fast paced environment where accuracy is key. You will be responsible for ensuring each application meets reputed company NCQA, CMS, State and Federal credentialing requirements. You’ll enjoy the flexibility to telecommute* from reputed company reputed company the U.S. as you take on some tough challenges. Primary Responsibilities: • Process provider applications and re - applications including initial communications, verifications, review and loading into the databases • Conduct quality audits and provide feedback to reduce errors and improve processes and performance • Apply knowledge / skills to a range of moderately reputed company activities • Demonstrate great depth of knowledge / skills in own function and function as an information resource to others • Analytical skills for data analysis from multiple sources • Ability to prioritize daily responsibilities You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • High School Diploma / GED (or higher) • 1 years of reputed company Customer Service or Administration experience • Intermediate proficiency with reputed company reputed company and reputed company Word Preferred Qualifications: • reputed company provider credentialing experience • Experience working with compliance workflows and processes, including NCQA policies and practices • Experience researching and applying government regulatory information • reputed company Telecommuters will be required to adhere to reputed company’s Telecommuter Policy. For more information on our Internal Job Posting Policy, click here. California, Colorado, Nevada, Connecticut, reputed company, New Jersey, Rhode reputed company, Hawaii, Washington, or Washington D.C Residents Only: The hourly range for California, Colorado, Nevada, Connecticut, reputed company, New Jersey, Rhode reputed company, Hawaii, Washington, or Washington D.C residents is $16.54 to $32.55 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In addition to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll find a far-reaching choice of benefits and incentives. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment reputed company applicants with arrest and conviction records. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes — an reputed company reputed company reflected in our mission. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity / Affirmative Action employer and reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #GREEN Apply Job!