Job Description

BroadPath is hiring  Credentialing Specialists to work from home! The Credentialing Specialist will perform all verification activities associated with credentialing and re-credentialing for contracted providers in accordance with policies, National Committee for Quality Assurance (NCQA) standards and state and federal requirements. 

• Verifies the credentials timely and accurately, through approved sources of providers on the Moda panel. 
• Monitors requests for and receipt of credentialing and re-credentialing applications.
• Completes all documentation and data entry information into the credentialing database.
• Identifies and reports any non-compliance or credentialing issues to the credentialing supervisor.
• Communicates with providers directly or with appropriate office staff regarding the Moda credentialing process, submitted application status and required documentation requests.
• Updates database with current provider demographics.
• Manages provider data within the credentialing database from delegated entities.
• Assures confidentiality of documents, records and data information. Keeps all documents secure and confidential.
• Performs other duties as assigned.

• Type a minimum of 50 WPM on computer keyboard and Ten key proficiency of 135 KSPM net.
• Strong organizational and time management skills. ​
• Ability to meet deadlines, maintain confidentiality, produce work high volumes, work independently as well as in a diverse team environment.
• Ability to problem solve, retain information and have strong attention to detail.
• Working knowledge of NCQA, the Centers for Medicare and Medicaid Services and Oregon Health Authority or other state credentialing standards helpful.
• Excellent verbal, written and interpersonal skills.

At BroadPath, diversity is our strength. We embrace individuals from all backgrounds, experiences, and perspectives. We foster an inclusive environment where everyone feels valued and empowered. Join us and be part of a team that celebrates diversity and drives innovation!

Equal Employment Opportunity/Disability/Veterans

If you need accommodation due to a disability, please email us at HR@Broad-path.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application process.

BroadPath is an Equal Opportunity Employer

We do not discriminate against our applicants because of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law.

Job Tags

Similar Jobs