Delegated Credentialing Specialist, Temp

CHG Management Inc

Multiple Locations, US
$25.00ph; not specified; not specified
Fully remote
Primary source verification
Payor enrollment process
Caqh and npi updates
The Credentialing Specialist is responsible for credentialing and recredentialing client practitioners as well as ensuring enrollment with participating client health plans

Job Summary

  • The Credentialing Specialist is responsible for credentialing and recredentialing client practitioners as well as ensuring enrollment with participating client health plans.
  • Responsibilities include processing credentialing applications, performing primary source verifications and updating and maintaining credentialing database in accordance with internal policies and procedures, client health plan contracts and applicable state and federal requirements.
  • In return, we offer competitive pay, flexible work schedules - including work from home options available, and award-winning training and development programs.

Matching Summary

The Credentialing Specialist is responsible for credentialing and recredentialing client practitioners as well as ensuring enrollment with participating client health plans.

Salary

$25.00/hour; Not specified; Not specified

Skills & Requirements

Must-have

  • Primary source verification
  • Payor enrollment process
  • CAQH and NPI updates
  • Sanctions and compliance monitoring
  • Healthcare practitioner credentials

Nice-to-have

  • Positive culture contribution
  • Process improvement initiatives
  • Team meetings participation

Key Requirements

  • 3-5 years of medical credentialing experience
  • Associate’s degree or equivalent experience
  • Certified Provider Credentialing Specialist (CPCS) preferred
  • Provider Enrollment Specialist Certificate (PESC) preferred
  • Proficient with payor websites (CAQH, Pecos, NPI/NPPES, Availity, NaviNet, CMS I&A)

Work Rights

Not specified

Tailored Resume

Cover Letter