资质专员 - 远程办公
Credentialing Specialist - Work from Home
Sagility 将行业领先的科技与以转型为导向的BPM服务，结合数十年的医疗健康领域专业知识，帮助客户更贴近其会员。公司通过临床、个案管理、会员参与、供应商解决方案、支付准确性、理赔成本控制和分析等服务，优化整个会员/患者体验。Sagility 在5个国家拥有超过25,000名员工。
职位名称：
认证专员 - 远程办公职位描述：
BroadPath，Sagility 旗下公司，正在招聘有经验的认证专员加入我们的远程团队！认证专员通过确保及时准确的供应商认证，支持我们的健康计划运营。此职位在保持符合内部标准和外部法规的同时，支持高质量的供应商体验方面起着关键作用。
薪酬亮点
- 基础薪资：每小时起薪20美元
- 薪资发放频率：每周发放
排班亮点
· 排班时间可能在东部时间上午9点至晚上9点之间，将根据业务需求进行安排
职责
- 及时准确地通过授权来源验证供应商资质
- 跟踪并处理认证和重新认证申请
- 在认证数据库中输入和更新供应商信息
- 维护和更新供应商的人口统计数据
- 监控和管理来自委托机构的数据
- 与供应商或其办公室人员沟通认证状态和所需文件
- 识别并向上级报告不符合规定或认证问题
- 确保敏感数据和文件的保密性
- 完成其他指派的任务
资格要求
- 具有1年以上健康计划供应商认证经验
- 强大的组织和时间管理能力
- 能够按时完成任务并处理大量工作
- 能够独立工作并在团队环境中协作
- 仔细关注细节和解决问题的能力
- 熟悉NCQA、CMS和州认证标准
- 优秀的书面、口头和人际沟通能力
在BroadPath，Sagility 旗下公司，我们相信透明、真诚和协作是打造强大、紧密联系的远程团队的关键。使用摄像头是我们的文化的重要组成部分。这是我们建立关系、分享想法和保持参与的方式。如果你重视开放的沟通，…
查看英文原文
Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.
Job title:
Credentialing Specialist - Work from HomeJob Description:
BroadPath, a Sagility Company, is hiring experienced Credentialing Specialists to join our remote team! Credentialing Specialists support our health plan operations by ensuring timely, accurate provider credentialing. This role is key to maintaining compliance with internal standards and external regulations while supporting a high-quality provider experience.
Compensation Highlights
- Base Pay: Starting at $20 per hour
- Pay frequency: Weekly pay
Schedule Highlights
· Schedules can fall between the hours of 9:00 AM – 9:00 PM Eastern Time and will be assigned based on business needs
Responsibilities
- Verify provider credentials through approved sources in a timely and accurate manner
- Track and process credentialing and re-credentialing applications
- Enter and update provider information in the credentialing database
- Maintain and update provider demographics
- Monitor and manage data from delegated entities
- Communicate with providers or their office staff regarding credentialing status and required documentation
- Identify and report non-compliance or credentialing issues to the supervisor
- Ensure confidentiality of sensitive data and documents
- Perform other duties as assigned
Qualifications
- 1+ years of experience of provider credentialing for a health plan
- Strong organizational and time management skills
- Ability to meet deadlines and handle high-volume work
- Able to work independently and in a team setting
- Strong attention to detail and problem-solving skills
- Familiarity with NCQA, CMS, and state credentialing standards
- Excellent written, verbal, and interpersonal communication skills
At BroadPath, a Sagility Company, we believe that transparency, authenticity, and collaboration are the keys to building strong, connected remote teams. Being on camera is an integral part of our culture. It is how we build relationships, share ideas, and stay engaged. If you are someone who values open communication, connection, and teamwork, you will thrive in our environment where showing up authentically matters.
What to Expect:
- On-camera participation during interviews, training, team meetings, and regular check-ins.
- Face-to-face discussions sparking collaboration and engagement
- A supportive atmosphere where you can express yourself openly and be part of a team that values your contributions.
Benefits:
- Medical, Dental, and Vision coverage.
- Life Insurance.
- Short-Term and Long-Term Disability options.
- Flexible Spending Account (FSA).
- Employee Assistance Program.
- 401(k) with employer contribution.
- Paid Time Off (PTO).
- Tuition Reimbursement.
BroadPath, a Sagility Company, may conduct background checks, previous employment verifications, and education verifications, based on position requirements
Diversity Statement
At BroadPath, a Sagility Company, 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 . This information will be held in confidence and used only to determine an appropriate accommodation for the application process
BroadPath, a Sagility Company 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.
Compensation: BroadPath a Sagility Company has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.
Location:
Work@Home USAUnited States of AmericaOriginally posted on Himalayas