What's your preference?
Job Description
- Req#: F2CC4FF9A6
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Comprehensive benefits package including medical, dental, and vision coverage for you and your family
- Generous paid time off policy to ensure work-life balance
- 401k plan with company match to help plan for your future
- Opportunity to work from home with provided Apple equipment and a media stipend
- Join a fast-paced, high-performance culture with a focus on individual and team contributions
- Chance to work with a leading company that processes over 200,000 insurance claims annually
What to Expect (Job Responsibilities):
- Screen reviewers for required credentialing and background information, including sanctions and criminal background checks
- Conduct primary source verification of reviewer board certifications, licenses, and malpractice checks
- Update and maintain records for expired licenses, board certifications, and registrations
- Participate in the Quality Management Committee and assist with credentialing-related content
- Manage recredentialing processes, including communication with the Operations team regarding application statuses
What is Required (Qualifications):
- An Associate's Degree or Bachelor's Degree is preferred
- Credentialing experience in a healthcare or insurance setting is preferred
- Knowledge of URAC and relevant State and Federal guidelines
- Excellent communication skills and understanding of medical terminology
- Strong critical thinking abilities and time management skills
How to Stand Out (Preferred Qualifications):
- Experience with credentialing processes and related software
- Familiarity with medical terminology and healthcare compliance standards
- Previous participation in quality management or improvement initiatives
#HealthcareServices #Credentialing #RemoteWork #CareerOpportunity #BenefitsPackage
"We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."About the company
The best remote jobs for you
Notice
Talentify is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Talentify provides reasonable accommodations to qualified applicants with disabilities, including disabled veterans. Request assistance at accessibility@talentify.io or 407-000-0000.
Federal law requires every new hire to complete Form I-9 and present proof of identity and U.S. work eligibility.
An Automated Employment Decision Tool (AEDT) will score your job-related skills and responses. Bias-audit & data-use details: www.talentify.io/bias-audit-report. NYC applicants may request an alternative process or accommodation at aedt@talentify.io or 407-000-0000.