Credentialing Specialist

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🔥 1 minute ago

🌵 Arizona, Nevada, +2 more states – Remote

🌵 Arizona – Remote 🎰 Nevada – Remote 🌲 North Carolina – Remote 🏰 Missouri – Remote

💵 $19 - $32 / hour

⏰ Full Time

🟢 Junior

👻 Ghost score 0%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Centene Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1984

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

📋 Description

• Perform credentialing and re-credentialing activities according to plan specifications and in compliance with NCQA standards • Communicate with physicians, office managers, providers, and other third parties to secure needed information • Gather information for Credentialing Committee meetings • Process, track and file credentialing applications within established standards • Generate and utilize reporting to support business functions • Perform PSV for education verification

🎯 Requirements

• Associate’s degree, or high school diploma/equivalent and 1+ years of data entry, customer service, medical office, provider data management, credentialing or healthcare operations experience • Experience preferably in a managed care or insurance environment • Ability to perform PSV for education verification • Ability to thrive in a fast-paced production environment while maintaining quality • Ability to communicate professionally with physicians, office managers, providers, and other third parties • Ability to generate and utilize reporting to support business functions

🏖️ Benefits

• Competitive pay • Health insurance • 401K • Stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Additional forms of incentives may be included in total compensation

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