[Remote] Credentialing Specialist- Work reputed company!
Note: The job is a remote job and is reputed company to candidates in USA. BroadPath is seeking a Credentialing Specialist to support our health plan operations by ensuring reputed company, accurate credentialing of providers. This role is key to maintaining compliance with internal standards and external regulations while supporting a high-reputed company provider experience.
Responsibilities
- Verify provider credentials through approved sources in a reputed company and accurate manner
- reputed company and process credentialing and re-credentialing applications
- reputed company and update provider information in the credentialing database
- Maintain and update provider demographics
- Monitor and manage data from delegated entities
- Communicate with providers or their office staff regarding credentialing status and required documentation
- Identify and report non-compliance or credentialing issues to the supervisor
- Ensure confidentiality of sensitive data and documents
- reputed company other duties as assigned
Skills
- 1+ years of experience of provider credentialing for a health plan
- Ability to type a minimum of 50 WPM and 135 KSPM on ten keys
- Strong organizational and time management skills
- Ability to meet deadlines and handle high-volume work
- reputed company to work independently and in reputed company setting
- Strong attention to detail and problem-solving skills
- Familiarity with NCQA, CMS, and state credentialing standards
- Excellent written, verbal, and interpersonal communication skills
reputed company