Job Description
Role: Credentialing SpecialistLocation: RemoteDuration: Long Term ContractPay rate: $40/hr to $54/hr.Essential Duties● Timely processing of initial credentialing and re-credentialing applications in accordance with regulatory requirements (NCQA, URAC, CMS, or other regulatory standards).● Validating and verifying provider credentials (licensure, DEA, specialty board, certificates, professional liability, and other required documents) through the appropriate verification sources.● Completing payer provider enrollment process, performing revalidations, maintaining CAQH profiles, NPPES registrations, provider data with payers and managing plan enrollment status in credentialing system.● Maintenance of credentialing cycles, expiration of licenses, and sanctions monitoring.Qualifications● Bachelor's degree preferred.● Five (5) years of progressive experience in credentialing and provider enrollment.● Certified Provider Credentialing Specialist (CPCS) preferred.● Knowledge of credentialing, privileging, and provider enrollment regulatory standards.● Strong understanding of credentialing databases and reporting tools and/or the ability to quickly learn them.● Strong sense of ethics and demonstrated integrity in handling confidential information.● Detail-oriented, Excellent written, verbal, and interpersonal communication skills.● analytical, problem solving, decision-making and organizational skills.● Ability to work independently to accomplish objectives accurately and expeditiously.About Us:Founded in 2009, IntelliPro is a global leader in talent acquisition and HR solutions. Our commitment to delivering unparalleled service to clients, fostering employee growth, and building enduring partnerships sets us apart. We continue leading global talent solutions with a dynamic presence in over 160 countries, including the USA, China, Canada, Singapore, Japan, Philippines, UK, India, Netherlands, and the EU.IntelliPro, a global leader connecting individuals with rewarding employment opportunities, is dedicated to understanding your career aspirations. As an Equal Opportunity Employer, IntelliPro values diversity and does not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or any other legally protected group status. Moreover, our Inclusivity Commitment emphasizes embracing candidates of all abilities and ensures that our hiring and interview processes accommodate the needs of all applicants. Learn more about our commitment to diversity and inclusivity at https://intelliprogroup.com.Compensation: The pay offered to a successful candidate will be determined by various factors, including education, work experience, location, job responsibilities, certifications, and more. Additionally, IntelliPro provides a comprehensive benefits package, all subject to eligibility.
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