Job Description
Job Description
Job Description
Are you an experienced credentialing professional looking for a fully remote opportunity? We are seeking Credentialing Specialists to join our team, ensuring healthcare providers meet compliance and regulatory requirements. In this high-impact role, you’ll be responsible for credentialing and re-credentialing processes, provider data management, and quality assurance to support the success of a growing healthcare network.
salary: $22 - $30 per hour
shift: First
work hours: 9 AM - 5 PM
education: Associate
Responsibilities
What You’ll Do:
- Collect, review, and process initial and re-credentialing applications from healthcare providers.
- Ensure compliance with NCQA standards, accrediting agencies, and regulatory requirements .
- Maintain accurate provider data in tracking systems, ensuring timely updates.
- Support credentialing audits and quality assurance initiatives.
- Facilitate communication with providers, representatives, and leadership on credentialing status.
What We’re Looking For:
- Associate’s degree or 3+ years of experience in healthcare credentialing, insurance, or provider network operations.
- Knowledge of NCQA guidelines and health plan credentialing processes .
- Proficiency in Microsoft Office (Word, Excel, PowerPoint, Outlook) .
Why Join Us?
- Remote flexibility – Work from home (excluding NY & CA).
- Career growth potential – Temp-to-perm opportunity with a reputable healthcare organization.
- Collaborative team environment – Work alongside industry professionals committed to excellence.
- Make a real impact – Play a crucial role in ensuring provider compliance and patient safety.
If you’re ready to bring your credentialing expertise to a dynamic and growing team, apply today!
Skills
- Credentialing
- NCQA
- CMS
- Medical Terminology
Qualifications
- Years of experience: 4 years
- Experience level: Experienced
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Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).
This posting is open for thirty (30) days.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
Job Tags
Hourly pay, Permanent employment, Temporary work, Work experience placement, Work from home, Shift work,