Credentialing Specialist I

Immediate need for a talented Credentialing Specialist I. This is a 03+months contract opportunity with long-term potential and is located in CA(Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID: 25-80297

Pay Range: $22 - $23/hour.  Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

• Shift: 7-3:30 PST or 8-430
• Minimal o.t. may be required as identified.
• Monitor the queue and process for the credentialing and re-credentialing of various providers
• Prepare files for credentialing documentation
• Generate letters to providers in accordance with departmental workflows
• Respond to internal and external customer inquiries regarding credentialing status
• Provide various administrative support to the Credentialing function
• Ensure all credentialing files are prepared for Credentialing Committee meetings
• Accessing and performing primary source verification, including saving documents to PDF, folder, etc.
• Processing internal/external emails.
• Responding to emails internally and externally. Researching provider info. 

Key Requirements and Technology Experience: 

• Key Skills; 1-2 experience in credentialing/call center, CAQH, NPDB.
• Knowledge of state regulations.
• Education/Experience: Associate’s degree, or high school diploma/equivalent and 1+ years of data entry, customer service, medical office, provider data management, credentialing or healthcare operations (i.e. claims processing, billing, provider relations or contracting) experience, preferably in a managed care or insurance environment.

Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

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