Senior Credentialing Representative

RepresentativeGeneralFull TimeRemoteSeniorTeam 10,001+Since 1982H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

4 days ago

Salary

$21 - $32 / hour

Seniority

Senior

Bachelor Degree2 yrs expEnglish

Job Description

Senior Credentialing Representative

The Cigna Group

• Execute core credentialing and provider data management functions to ensure compliance with regulatory and organizational standards • Support the full credentialing lifecycle, including initial credentialing, re-credentialing, and privileging of providers • Maintain accurate records and deliver high-quality service to internal and external stakeholders • Perform delegated credentialing activities in accordance with established policies and procedures • Process provider applications and re-applications, including review for completeness and system data entry • Verify provider credentials, maintain accurate provider profiles within credentialing systems • Prepare credentialing files and documentation for committee review • Manage communications in the Credentialing and Verifications inbox, ensuring timely responses • Support Medicaid provider enrollment activities and maintain accurate enrollment records • Conduct routine audits and assist with departmental projects and process improvement initiatives

Job Requirements

  • 2+ years of experience in provider credentialing, provider enrollment, or healthcare operations (preferred)
  • Knowledge of credentialing standards, regulatory requirements, and verification processes
  • Experience with Medicaid enrollment processes and multi-state provider management (preferred)
  • Strong attention to detail with the ability to manage multiple priorities in a fast-paced environment
  • Excellent written and verbal communication skills
  • Ability to work independently while collaborating cross-functionally
  • Proficiency with credentialing systems, databases, and Microsoft Office tools
  • Organizational and time management skills
  • Problem-solving and critical thinking

Benefits

  • medical, vision, dental, and well-being and behavioral health programs
  • 401(k)
  • company paid life insurance
  • tuition reimbursement
  • minimum of 18 days of paid time off per year
  • paid holidays
  • leaves of absence

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