Job Summary
A healthcare company has a current position open for a Remote Corp Credentialing Specialist.
Individual must be able to fulfill the following responsibilities:
- Requesting recredentialing applications from providers and conducts follow-up on application requests, following department guidelines and production goals
- Completing data corrections in the credentialing database necessary for processing of recredentialing applications
- Reviewing and processing assigned federal/state and license sanctions and exclusions reports to determine if providers have sanctions/exclusion
Applicants must meet the following qualifications:
- Associate's or Bachelor's Degree
- Minimum of 2 to 3 years experience in credentialing
- Experience in a production or administrative role requiring self-direction and critical thinking
- Certified Provider Credentialing Specialist (CPCS) or participation in a CPCS progression program
- Experience with advanced written and verbal communication
- knowledge of CMS, NCQA and other credentialing regulations
