Credentialing Coordinator

Job not on LinkedIn

🔥 12 hours ago

🌽 Illinois, Montana, +4 more states – Remote

🌽 Illinois – Remote 🦬 Montana – Remote 🌶️ New Mexico – Remote 🌪️ Oklahoma – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote

💵 $41.7k - $92.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.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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Health Care Service Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Health Care Service Corporation is an independent licensee of the Blue Cross Blue Shield Association, serving nearly 23 million people across the United States with a wide range of health benefit solutions. The company provides health coverage options for various groups, including employers, individuals, families, as well as Medicare and Medicaid plans. In addition to health insurance, HCSC offers services such as pharmacy solutions, life and dental insurance, and health data technology. With nearly a century of experience, HCSC is dedicated to improving access to quality care, enhancing health outcomes, and reducing costs while maintaining a deep commitment to its members and local communities.

📋 Description

• Credential or recredential professional and facility providers applying for initial or ongoing network participation • Ensure credentialing and recredentialing are completed in a timely and appropriate manner for presentation to the medical director and/or credentialing committee • Ensure documentation for approved providers is current at the time of committee determination • Conduct ongoing monitoring of providers

🎯 Requirements

• High school diploma or GED • 3 years of business experience • A combination of college-level education and experience will be considered • 1 year of credentialing or quality audit experience • Clear and concise interpersonal, verbal, and written communication skills • Coaching and mentoring skills • Experience with multitasking and adhering to tight timelines • PC experience with Windows, Word, Excel, Access, and other business-related/associated databases • Demonstrated analytical and organizational skills • Knowledge of managed care products, programs, and services • Sponsorship will not be provided for this role

🏖️ Benefits

• Curated development plans and professional development • 401(k) savings plan • Pension plan • Paid time off • Paid parental leave • Disability insurance • Supplemental life insurance • Employee assistance program • Paid holidays • Tuition reimbursement • Annual incentive bonus plan • Remote/telecommute work arrangement