Credentialing Specialist Job at Professional Staffing Services Group, Altamonte Springs, FL

c1FiT044QVRWWGtRb2dNYnJWMGltVWMyQWc9PQ==
  • Professional Staffing Services Group
  • Altamonte Springs, FL

Job Description

Job Description

Job Description

Pay: $20.00 - $30.00 per hour

Job description:

Credentialing Specialist

Pay: Up to $30/hr, depending on experience.

Location: Remote (must be in the Eastern Time Zone; no NY or CA).

Schedule: M-F, 40 hours/week, 9 AM EST start time.

Are you an experienced Credentialing Specialist ready for a new challenge? Our client is looking for a highly skilled professional to join our team in a temp-to-perm, remote role.

This is a fast-paced, high-volume environment, so we need someone who can hit the ground running. You'll be the point person for all things credentialing, from initial applications to re-credentialing cycles and compliance audits. If you're detail-oriented, have a knack for process improvement, and know your way around CMS, MD Staff, Adobe Pro, and Excel , we want to hear from you.

What You'll Do:

  • Manage the credentialing process from start to finish, ensuring all applications are complete and accurate.
  • Keep our provider database up-to-date and compliant.
  • Serve as a key resource for our CVO and PHSO teams.
  • Help prepare for NCQA audits and make sure we're always following the rules.
  • Work with providers to gather documentation and keep them informed.
  • Assist with committee meetings, reports, and follow-up activities.

What You'll Need:

  • At least 3 years of experience in a health insurance or healthcare setting.
  • 5+ years of professional secretarial, administrative, or credentialing experience.
  • Hands-on experience with CMS, MD Staff, Adobe Pro, and Excel.
  • In-depth knowledge of NCQA guidelines.
  • Exceptional organizational skills and an eagle eye for detail.
  • A proven ability to communicate effectively and solve problems independently.

Bonus Points:

  • An Associate's or Bachelor's degree in a related field.
  • NCQA & NAM certifications.

Job Tags

Hourly pay, Permanent employment, Temporary work, Remote work,

Similar Jobs

Essentia Health

PHYSICIAN - Family Medicine - Graceville, MN -11120BR Job at Essentia Health

 ...Licensure/Certification Qualifications: PHYSICIAN - Family Medicine (no OB) Graceville, MN Seeking one Family Medicine physician to join our Essentia HealthGraceville campus. Located on the waterfront of East Toqua Lake, the clinic provides family practice... 

Pro-Serv

General Cleaner Job at Pro-Serv

 ...General cleaner at Pro-Serv Commercial Cleaning Shift: Mon/Fri Hourly Rate: 15.00 Location: Downtown Phoenix Area Requirements: You must be 18 years old. Day Porter experience preferred For safety reasons, you must be able to speak English... 

Cyntergy

Architectural Designer Job at Cyntergy

 ...ARCHITECTURAL DESIGNER LOCATION Tulsa, OK REPORTS TO Director of Architecture TEAM Architecture POSITION SUMMARY At Cyntergy, you'll be involved in all aspects of architectural design and documentation, working within a multi-discipline office of architects... 

PageTraffic

PPC Executive - Noida at PageTraffic Job at PageTraffic

 ...tracking, revenue tracking etcLocationNoida, IndiaSalaryAs per the experienceJob TypeFull-timeDate PostedJune 3rd, 202...  ...PlanningRole Category: Online/Digital MarketingRole: PPC /Pay Per Click SpecialistCompany ProfilePAGETRAFFIC WEB-TECH PRIVATE... 

Albertsons Companies

Experienced Cake Decorator Job at Albertsons Companies

MUST HAVE PREVIOUS CAKE DECORATING EXPERIENCE IN A BAKERY SETTING. A Day in the Life: As a Cake Decorator, no one day is ever the same. You will use your artistic and creative design skills to put the "icing on the cake" on beautifully decorated cakes...