• Remote Credentialing Specialist (CVO, PSV)

    Insight Global (New York, NY)


    Job Description

    Responsibilities:

    • Ensure credentialing files are being completed in a timely and accurate manner

    • Adhere to internal SLAs

    • Complete primary source verifications

    • Education and Board verifications

    • State Licenses

    • Reviewing credentialing files and marking them as ready to complete the credentialing

    process

    • Resolve day-to-day questions and blockers for your team and escalate priority issues when

    needed

    • Participate in team meetings alongside other team members to discuss credentialing issues,

    provide feedback to product and engineering, and discuss process improvement changes

    • Communicating with providers through the credentialing process, assigning out tasks and

     

    following up on outstanding tasks

     

    We 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 opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their 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 or uniformed service member status, 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 [email protected] 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 Requirements

    2+ years of provider credentialing experience

    • Experience submitting files in accordance with NCQA standards

    • Familiarity with state-specific credentialing requirements

    • Previous experience working for a CVO (Credentials Verification Organization), completing primary source verification for a high volume of files (25-30+ files per day)

    • Experience working in a team environment ● Startup experience

    • High attention to detail including effective communications at all organizational levels

    • Demonstrated organizational skills and ability to adhere to timelines and SLA metrics

    • Expertise in using GSuites tools include GSheets, GDocs, and GMail