Associate Credentialing Representative

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🔥 0 minutes ago

⚜️ Louisiana, North Carolina, +3 more states – Remote

⚜️ Louisiana – Remote 🌲 North Carolina – Remote 🦀 Maryland – Remote 🔔 Pennsylvania – Remote ☕ Washington – Remote

💵 $19 - $27 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Highmark Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1852

⚕️ Healthcare Insurance

🤝 Non-profit

🌍 Social Impact

💰 $5M Grant on 2021-05

Healthcare Insurance • Non-profit • Social Impact

Highmark Health is a healthcare company committed to reinventing the healthcare system and improving its services for everyone. The organization offers a broad range of career opportunities across various fields such as clinical care, technology, finance, and marketing. Highmark Health emphasizes diversity, equity, and inclusion in its workforce, creating a supportive environment for employees from all backgrounds. The company has been recognized for its commitment to disability inclusion, diversity, and military-friendly employment. As an independent licensee of the Blue Cross Blue Shield Association, Highmark Health strives to create remarkable healthcare experiences for its customers and employees alike.

📋 Description

• Process provider applications and re-applications including initial mailing, review, and loading. • Maintain provider database and communicate with providers regarding credentialing status. • Perform credentialing, re-credentialing and related activities and coordinate credentialing verifications. • Review and process complex additions, updates and deletions of provider information. • Train credentialing personnel in the use of various systems, software, databases and procedures. • Participate in projects which streamline, automate or enhance credentialing functions.

🎯 Requirements

• Minimum High School Diploma or GED • 0-1 years of experience • Experience in Provider Data Management, Customer Services or Claims • Microsoft office experience (i.e. Word, Excel, PowerPoint, etc.) • A familiarity with credentialing processes and the URAC standards (preferred) • Experience with the Customer Service inquiry system or claims processing concepts (preferred)

🏖️ Benefits

• Health insurance • 401(k) matching • Paid time off • Flexible work arrangements