• Credentialing Specialist I

    Centene Corporation (New York, NY)


    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

     

    **Position Purpose:** Perform credentialing and related activities based on plan specifications

    + Perform credentialing and re-credentialing activities according to plan specifications and in compliance with NCQA standards

    + Communicate with professionalism with physicians, office managers, providers, and other third parties to secure needed information

    + Gather information for Credentialing Committee meetings

    + Process, track and file credentialing applications within established standards

    + Generate and utilize reporting to support business functions

    + Ability to thrive in a fast-paced production environment while maintaining quality

    SKILLS & EXPERIENCE

    Provider Credentialing

     

    Member Services/Success

    Claims Processing

    * Highly Preferred ~ Medicare/Medicaid experience

     

    90% Remote

    10% Travel for in office meetings/training

    * NY Residents Highly Preferred

    EST and CST residents preferred

    **Education/Experience:** Associate’s degree, or high school diploma/equivalent and 1+ years of data entry, customer service, medical office, provider data management, credentialing or healthcare operations (i.e. claims processing, billing, provider relations or contracting) experience, preferably in a managed care or insurance environment.Pay Range: $19.04 - $32.35 per hour

     

    Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

     

    Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

     

    Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act