Job Summary

A health insurance company is filling a position for a Remote Senior Credentialing Representative.

Core Responsibilities of this position include:

• Providing feedback to reduce errors and improve processes
• Performing primary source verifications
• Processing Credentialing Request Forms

Qualifications for this position include:

• Participate with internal and external audits, prepare files and attend credentialing committee meetings
• 3+ years of experience of Medical Credentialing processes
• Experience with CMS Regulations related to credentialing
• Experience with NCQA Standards related to credentialing
• Experience with CAQH ProView