Credentialing Representative

This job has been removed
Location: Remote
Compensation: Hourly
Reviewed: Thu, May 08, 2025
This job expires in: 15 days
Credentialing Compliance Workflows NCQA Policies MS Excel

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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