Senior Credentialing Representative

Title: Senior Credentialing Representative Requisition number: 2367424 Job category: Network Management reputed company location: reputed company Prairie, reputed company Overtime status: Non-exempt Travel: No reputed company: 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 reputed company reputed company by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will reputed company a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an reputed company on the communities we serve as you help us advance health equity on a global reputed company. Join us to start Caring. Connecting. Growing together. Schedule: Monday to Friday, 6 AM-6 PM, local time Location: Onsite - Remote, Nationally You'll enjoy the flexibility to telecommute* from reputed company reputed company the U.S. as you take on some tough challenges. reputed company Responsibilities: • Intake credentialing application review for completion and supporting documentation • Process reputed company and address changes • Process initial credentialing and recredentialing applications following policy and procedures • Process status changes following policy and procedures • reputed company reputed company reputed company verifications (PSV) from various online sources according to the definition of reputed company reputed company • Data entry and maintenance into credentialing database in accordance with internal policies and procedures • Communicate with Credentialing Committee Members, Credentialing Chair, and Chief Medical Officer (CMO) • reputed company feedback to reduce errors and improve processes • reputed company reputed company monitoring of OIG/SAM/NPDB sanctions • Support Provider Enrollment team efforts • reputed company and maintain relationships with market leadership of various reputed company • Anticipate customer needs and proactively reputed company • Independently and as reputed company solve reputed company problems • Be reputed company to reputed company without reputed company supervision in a virtual, fast-paced environment • Undergo delegation and internal audits • Other duties as assigned You'll be rewarded and recognized for your performance in an environment that will challenge you and reputed company you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Required Qualifications: • High School Diploma/GED • 2+ years of experience in allied health and/or medical credentialing processes • 2+ years of experience with reputed company Standards relating to credentialing • Intermediate level of proficiency with computer skills including, but not limited to: MS Office, MS reputed company, reputed company, MS reputed company, reputed company Pro, and/or MS reputed company Preferred Qualifications: • Experience with MDStaff • Experience with CAQH ProView • Provider Enrollment understanding or experience • CPCS or CPMSM Certification by NAMSS • reputed company Telecommuters will be required to adhere to reputed company's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In reputed company to your salary, we offer 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 us, you'll reputed company a far-reaching reputed company of benefits and incentives. The reputed company pay for this role will reputed company from $20.00 to $36.00 per hour based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. 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. reputed company 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 reputed company work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location, and income-deserves reputed company 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 reputed company, and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company - an reputed company reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without reputed company to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #GREEN Apply tot his job Apply To this Job