Credentialing Specialist - Remote

Overview

The Credentialing Specialist plays a vital role in the Banner Plans & Networks Team by providing leadership and support for the credentialing committee activities, ensuring the integrity and compliance of provider credentials.

In Short

• Lead role in preparing documentation for credentialing committee reviews.
• Conduct audits and maintain confidential records.
• Correspond with various stakeholders including team members and leadership.
• Prepare and distribute reports in a timely manner.
• Facilitate credentialing committee meetings.
• Oversee the credentialing appeals process.
• Work independently under general supervision.
• Utilize common office software for documentation and reporting.
• Organize and prioritize tasks in a fast-paced environment.
• Support a drug-free work environment.

Requirements

• Associate’s degree and 3-5 years of credentialing experience.
• Strong knowledge of business and/or healthcare.
• Excellent oral and written communication skills.
• Ability to follow directions and work effectively with office software.
• Capability to multi-task and maintain professionalism.
• Preferred additional education/experience in a related field.

Benefits

• Comprehensive benefits package for eligible positions.
• Opportunities for career advancement.
• Flexible work environment including remote options.
• Supportive organizational culture focused on employee wellbeing.