Remote Credentialing Specialist

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ResponsibilitiesJob DescriptionEnsure credentialing files are being completed in a timely and accurate mannerAdhere to Medallion internal SLAsComplete primary source verificationsEducation and Board verificationsState LicensesReviewing credentialing files and marking them as ready to complete the credentialingprocessResolve day-to-day questions and blockers for your team and escalate priority issues whenneededParticipate in team meetings alongside other team members to discuss credentialing issues,provide feedback to product and engineering, and discuss process improvement changesCommunicating with providers through the credentialing process, assigning out tasks andfollowing up on outstanding tasksWe are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day.

We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form (https: //airtable. com/app21VjYyxLDIX0ez/shrOg4IQS1J6dRiMo) . The EEOC "Know Your Rights" Poster is available here (https: //www. eeoc.

gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6. 12ScreenRdr. pdf) . To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https: //insightglobal. com/workforce-privacy-policy/ .

Skills And Requirements2+ years of provider credentialing experience, especially with payers (Optum is a must)Experience submitting files in accordance with NCQA standardsFamiliarity with state-specific credentialing requirementsPrevious experience working for a CVO (Credentials Verification Organization)Experience working in a team environmentHigh attention to detail including effective communications at all organizational levelsDemonstrated organizational skills and ability to adhere to timelines and SLA metricsExpertise in using GSuites tools include GSheets, GDocs, and GMail Familiarity or experience with provider enrollment or medical licensingStartup experience nullWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day.

We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to HR@insightglobal. com.

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