Credentialing Representative
This job has been removed
Location: Remote
Compensation: Hourly
Reviewed: Thu, May 08, 2025
This job expires in: 15 days
Job Summary
A company is looking for a Credentialing Representative - National Remote.
Key Responsibilities
- Process provider applications and re-credentialing, including initial mailing and database tracking
- Conduct audits and provide feedback to improve processes and performance
- Act as a technical resource and demonstrate expertise in credentialing functions
Required Qualifications
- High School Diploma/GED (or higher)
- 6+ months of healthcare provider credentialing experience
- 6+ months of experience with compliance workflows and NCQA policies
- 6+ months of experience researching government regulatory information
- Intermediate proficiency with MS Excel and Word
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