Credentialing Specialist

Immediate need for a talented Credentialing Specialist. This is a 12+months contract opportunity with long-term potential and is located in Texas (Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID: 25-77272

Pay Range: $19 - $20/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 Timing: Flexible 7:30AM -4:30PM M-F CST
• A que will be given weekly, and enter data into system for review
• Perform credentialing and re-credentialing activities according to plan specifications and in compliance with NCQA standards
• Communicate with professionalism with physicians, office managers, providers, and other third parties to secure needed information
• Gather information for Credentialing Committee meetings
• Process, track and file credentialing applications within established standards
• Generate and utilize reporting to support business functions
• Ability to thrive in a fast-paced production environment while maintaining quality"
• Story Behind the Need – Business Group & Key Projects
• NCQA standards have been update and changed standards and needed new workers
• Monthly team meeting and bi-weekly individual meeting
• Delegates for credentialing 87 groups work with outside delegates
• Quality audits

Key Requirements and Technology Experience: 

• Key Skills; Credentialing, Excel, Typing 50WPM, Healthcare, Medicare, 
• Source list of license boards,
• Reporting on expired licensee
• A que will be given weekly, and enter data into system for review
• Compelling Story & Candidate Value Proposition
• Entry level of license experience
• Required: High school, GED 
• Level of experience with each
• Stack-ranked by importance
• Candidate Review & Selection
• Detail oriented
• Credentialing experience
• 50 WPM
• Nice to haves: Process management Excel experience
• Disqualifiers: longevity
• Performance indicators:

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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