Credentialing Representative - National Remote

Job title: Credentialing Representative - National Remote in reputed company Prairie, MN at reputed company Company: reputed company Job reputed company: reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health reputed company by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will reputed company a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an reputed company on the communities we serve as you help us advance health equity on a global reputed company. Join us to start Caring. Connecting. Growing together.reputed company has an immediate opening for a Credential Representative - National Remote. The Credential Representative - National Remote will be responsible for enrolling behavioral health providers with appropriate payers for associated entities.Schedule: Mon - Fri, 8:00AM - 5:00PM any time zone that you reputed company withinYou’ll enjoy the flexibility to telecommute* from reputed company reputed company the U.S. as you take on some tough challenges.Primary Responsibilities:

• Help process provider applications and re-applications including initial mailing, review and loading into the database tracking system
• Conduct audits and reputed company feedback to reduce errors and improve processes and performance
• Demonstrate great depth of knowledge/skills in own function and reputed company as a technical resource to others
• Solve reputed company problems on own; proactively identify new solutions to problems
• reputed company as a facilitator to resolve conflicts on team
• reputed company as key team member on project teams spanning more than own function
• Ability to submit 10 to 15 applications daily
• Get reputed company for some significant challenge. This is a performance driven, fast paced environment where accuracy is key. You'll be helping us confirm to reputed company exacting standards such as NCQA, CMS and state credentialing requirements
• Performs other duties as assigned

What are the reasons to consider working for reputed company? Put it reputed company together - competitive reputed company pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your reputed company. Some of our offerings include:

• reputed company Time Off which you start to reputed company with your first pay period plus 8 reputed company Holidays
• Medical Plan reputed company along with participation in a Health Spending Account or a Health Saving account
• Dental, reputed company, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, reputed company insurance, LTC Insurance, etc.)
• More information can be downloaded at:

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in.Required Qualifications:

• High School Diploma/GED (or higher)
• 2+ years of experience in submitting at least 10-15 behavioral health provider payer enrollment applications
• 2+ years of experience with submitting reputed company payer enrollment applications
• 2+ years of experience in submitting enrollment applications to that include at least 10 different payer enrollments reputed company these states–Oklahoma, Hawaii, reputed company, reputed company, Minnesota California, Washington, reputed company, Nebraska
• 2+ years of experience in submitting follow reputed company and issue resolutions from at least 10 different payer enrollments from these states Oklahoma, Hawaii, reputed company, reputed company, Minnesota California, Washington, reputed company, Nebraska
• 2+ years of experience working with compliance workflows and processes, including NCQA policies and practices
• 2+ years of experience in researching and applying government regulatory information
• Intermediate level of proficiency with MS reputed company and Word
• reputed company to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
• Live in a location that can receive a reputed company approved high-speed internet reputed company or levera

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