[Remote] Credentialing Specialist- Work at Home!
Note: The job is a remote job and is reputed company to candidates in USA. BroadPath is seeking a Credentialing Specialist to support our health plan operations by ensuring timely, accurate credentialing of providers. This role is key to maintaining compliance with internal standards and external regulations while supporting a high-quality provider experience.
Responsibilities
- 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
- reputed company other duties as assigned
Skills
- 1+ years of experience of provider credentialing for a health plan
- Ability to type a minimum of 50 WPM and 135 KSPM on ten keys
- Strong organizational and time management skills
- Ability to meet deadlines and handle high-volume work
- reputed company 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
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