Job Description

Immediate need for a talented Credentialing Specialist I . This is a 06+ Months Contract opportunity with long-term potential and is located in FL(Remote) . Please review the job description below and contact me ASAP if you are interested. Job ID:25-64302 Pay Range: $22 - $23/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: The candidate will be responsible for vetting the online requests received from existing providers, gathering the required credentialing documents and submitting the request through our internal system. If missing information is identified, the specialist will be reaching out to our providers via email to request any missing information. Time management is crucial because if they request missing information, once the information is received, they will be required to complete the process in a timely manner, while working on the new requests we receive in the mailbox from providers and through our system from internal customers. Credentialing knowledge is helpful but not required, Excel, attention to detail, organizational skills, the ability to prioritize & pivot, communicational skills, problem solving and work under pressure. Each credentialer has a folder with their name on it and the emails are assigned to those folders. The idea is for the emails assigned to be worked from oldest to newest, they will create a practitioner folder in our S Drive where all the documents will be gathered and saved. If they can complete the process, the request is submitted through our internal system and a communication to the provider is sent letting them know the process was completed. Missing information is tracked in our SharePoint. During the training/learning process the opportunity for OT will not be available. Once the employee can meet our required metrics of completing 75 requests a week during their 8-hour shift, and is able to work independently, the OT opportunity will be extended. Key Requirements and Technology Experience: Skills- Credentialing experience, Work under pressure/Time management and Communicational skills. Work under pressure. Time management. Communicational skills. NAMSS Credentialing Certification, knowledge of NCQA Standards is highly preferred. High School Diploma is required. Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration. Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here. #prof Pyramid Consulting

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