Credentialing Specialist I
Remote
Core
Perform credentialing and re-credentialing activities for physicians and providers in compliance with NCQA standards.
Role type
Credentialing Specialist
Builds
Credentialing applications and reports for business functions
Domain
Healthcare operations / Managed care
Required skills
data entry, customer service, provider data management, credentialing, healthcare operations, claims processing, billing, provider relations, contracting, PSV for education verification
Preferred skills
PSV for education verification
Technologies
NCQA standards
Responsibilities
Communicate with physicians and providers to secure information, gather information for Credentialing Committee meetings, process and file credentialing applications, generate reporting to support business functions
Seniority
Entry-level