Credentialing Specialist

Welcome to the Latest Job Vacancies Site 2024 and at this time we would like to inform you of the Latest Job Vacancies from the AmeriHealth Caritas with the position of Credentialing Specialist - AmeriHealth Caritas which was opened this.

If this job matches your qualifications, please send your application directly through our latest Job site. Indeed, every job is not easy to apply because it must meet several qualifications and requirements that we must meet in accordance with the standard criteria of the Company who are looking for potential candidates to work. Good job information Credentialing Specialist - AmeriHealth Caritas below matches your qualifications. Good Luck: D

Flexible work solutions including remote options hybrid work schedules Competitive pay Paid time off including holidays and volunteer events Health

Your career starts now. We are looking for the next generation of health care leaders.

At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nations leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we would like to hear you.

Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at www.amerihealthcaritas.com.

Responsibilities:

The Credentialing Coordinator is responsible for processing and completing the credentialing and re-credentialing functions of all providers in accordance with NCQA, state, and federal requirements.

Principal Accountabilities:

• Validates completeness of provider applications prior to processing.
• Conducts primary source verification for all credentialing and re-credentialing applications.
• Monitors the progress and completion of all site visits by the provider network team to ensure completion within the established timeframe.
• Accurately enters all critical data elements of provider applications into the Credentialing system.
• Responds to phone inquiries received into the Credentialing phone queue from internal and external clients.
• Completes projects as assigned.

Education/ Experience:

• High School/GED with 4 years of credentialing experience OR
• Associate’s Degree with 1 to 2 years of credentialing experience OR
• Bachelor’s Degree with 1 year of credentialing experience or related experience.
• 1 to 4 years of prior provider credentialing experience based on a combination of education and experience.

Other Skills:

• Intermediate knowledge of PC applications, including Microsoft Office.
• Strong verbal and written communication skills.
• Strong organizational skills required.
• Ability to perform in a metrics-driven environment.

Diversity, Equity, and Inclusion

At AmeriHealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.

We keep our associates happy so they can focus on keeping our members healthy.

Our Comprehensive Benefits Package

Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.

• Company : AmeriHealth Caritas
• Position : Credentialing Specialist
• Location : Remote
• Country : US

How to Submit an Application:

After reading and knowing the criteria and minimum requirements for qualifications that have been explained from the Credentialing Specialist job info - AmeriHealth Caritas Remote above, thus jobseekers who feel they have not met the requirements including education, age, etc. and really feel interested in the latest job vacancies Credentialing Specialist job info - AmeriHealth Caritas Remote in 30-04-2024 above, should as soon as possible complete and compile a job application file such as a job application letter, CV or curriculum vitae, FC diploma and transcripts and other supplements as described above, in order to register and take part in the admission selection for new employees in the company referred to, sent via the Next Page link below.