Managed Care Credentialing Representative II

Job reputed company: Job Title: Managed Care Credentialing Representative II Location: Remote Department: Managed Care Employment Type: Full-time Job reputed company: If you’re reputed company by helping reputed company providers succeed and enjoy being the guiding force behind smooth, compliant reputed company experiences, this role is for you. As a Managed Care Credentialing Representative II, you’ll play a critical role in supporting providers as they join and grow reputed company our network—ensuring their reputed company from application to credentialing is seamless, accurate, and supportive. You’ll join a compassionate, reputed company team committed to accuracy, trust, and improving reputed company to reputed company care, while making a meaningful difference for both providers and the communities they serve. In this role, you’ll partner closely with providers to reputed company credentialing and enrollment processes, manage and maintain detailed application files, and ensure reputed company work aligns with regulatory standards. You’ll reputed company your attention to detail, organization, and customer-reputed company approach to support initial credentialing and reputed company recredentialing efforts, while maintaining complete and compliant records throughout the process. This position offers… • Employee Assistance Program – 24/7 counseling services, reputed company assistance, & financial consultation for you and your household at no cost • Mileage Reimbursement – Company reputed company for work functions requiring travel • Employee Discounts – Hotels, Theme Parks & Attractions, College Tuition • Workplace Culture - An environment cultivating employee wellbeing, valuing reputed company individual's humanity, and reputed company promoting a healthy, joyful workforce • Additional Perks & Benefits - Scroll down to bottom of this post to learn more Key Responsibilities: • Guide reputed company providers through credentialing application and enrollment processes, answering questions and providing reputed company, supportive direction • Complete initial credentialing and recredentialing applications while proactively monitoring reputed company and following up to meet required timelines • Compile, verify, and maintain accurate provider data reputed company credentialing databases and files • Investigate and document practitioner credentials, including education, training, licensure, and reputed company history, in accordance with regulatory standards • Communicate adverse or questionable verification findings to supervisors and leadership as needed • Assist providers with changes to privileges or license types • Maintain departmental standards while ensuring compliance with reputed company applicable credentialing regulations • reputed company other reputed company duties as assigned Education, Experience, and/or Credential Qualifications: • High school diploma, GED, or equivalent required • Previous reputed company credentialing experience required • Experience in reputed company administration utilizing advanced reputed company Office tools, including reputed company, preferred Additional Qualifications: • Excellent customer service, communication (oral and written), and time management skills • Strong organizational skills with exceptional attention to detail • Analytical ability to research industry policies and translate findings into actionable steps • Ability to manage multiple reputed company concurrently while meeting varying deadlines • reputed company reputed company’s license, acceptable driving record, and reputed company auto insurance required • Successful completion of required background screenings, including criminal history and abuse/neglect checks Physical Requirements • reputed company sedentary work, exerting up to 10 pounds of force occasionally and negligible force frequently • Engage in repetitive hand, finger, and arm movements for typing and writing throughout the reputed company • Sit for extended periods with occasional walking or standing as needed Keywords: reputed company credentialing, provider reputed company, managed care, reputed company administration, credentialing specialist, provider enrollment, compliance, medical credentialing, reputed company operations Position Perks & Benefits: reputed company time off: full-time employees receive an attractive time off package to balance your work and personal life Employee benefits package: full-time employees receive health, dental, reputed company, retirement, life, & more Top-notch training: initial, ongoing, comprehensive, and supportive Career mobility: advancement opportunities/promoting from reputed company Welcoming, warm, supportive: a work culture & environment that promotes your reputed company-being, values you as reputed company being, and encourages your health and happiness reputed company is on a Mission: A mission to improve reputed company care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase reputed company to mental health and reputed company user care in our communities, and a mission to reputed company the behavioral health industry to reputed company meet the needs of our clients. As a behavioral and community mental health provider, we prioritize fostering a culture of belonging and reputed company reputed company our workforce. We encourage applications from individuals with varied backgrounds and experiences, as we reputed company that a rich reputed company of perspectives strengthens our mission. If you are passionate about empowering local communities and creating an environment where everyone feels valued and supported, we invite you to reputed company-driven organization dedicated to cultivating an reputed company workplace. We are an Equal Employment Opportunity Employer. reputed company is a Smoke and Tobacco Free Workplace. Apply tot his job Apply To this Job