Credentialing Specialist

Job not on LinkedIn

🕒 July 6

🇺🇸 United States – Remote

💵 $20 / hour

⏰ Full Time

🟢 Junior

✨ Credentialing Specialist

🚫👨‍🎓 No degree required

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Sagility

WebsiteLinkedInAll Job Openings

10,000+ employees

📋 Compliance

🔒 Cybersecurity

☁️ SaaS

Compliance • Cybersecurity • SaaS

Sagility is a company focused on digital privacy and online user experience, with an emphasis on cookie management and compliance with EU cookie laws. It provides tools and information for managing cookies, ensuring legal compliance, and enhancing website functionality and user privacy. Sagility aims to help businesses understand site visitors' interactions through necessary and optional cookies while maintaining data protection standards.

📋 Description

• Verify provider credentials through approved sources in a timely and accurate manner • Track and process credentialing and re-credentialing applications • Enter 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 • Perform other duties as assigned.

🎯 Requirements

• 1+ years of experience of provider credentialing for a health plan • Strong organizational and time management skills • Ability to meet deadlines and handle high-volume work • Able to work independently and in a team setting • Strong attention to detail and problem-solving skills • Familiarity with NCQA, CMS, and state credentialing standards • Excellent written, verbal, and interpersonal communication skills.

🏖️ Benefits

• Medical, Dental, and Vision coverage. • Life Insurance. • Short-Term and Long-Term Disability options. • Flexible Spending Account (FSA). • Employee Assistance Program. • 401(k) with employer contribution. • Paid Time Off (PTO). • Tuition Reimbursement.