Credentialing Specialist 1

Immediate need for a talented Credentialing Specialist 1. 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:25-83312

Pay Range: $19.50 - $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:

• Perform credentialing and related activities based on plan specifications.
• 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.
• Triage practitioner files, data entry, outreach through email and phone.
• Meetings, IM, and emails.

Key Requirements and Technology Experience:

• Skills-Credentialing/Re-Credentialing, Documentation & Reporting & Data Handling.
• High School diploma or GED
• Microsoft Office- Excel and Word
• Data Entry
• Customer Service
• Excel and Word
• 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.
 
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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