Senior Credentialing Representative
Location
United States
Posted
4 days ago
Salary
$21 - $32 / hour
Seniority
Senior
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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