3 Credentialing Specialist - Remote Jobs in Flint, MI

SORT BY

SET JOB ALERT

OFF

Details...

Credentialing Specialist - Remote

McLaren Integrated HMO Group

Flint, MI | Full Time

$41k-51k (estimate)

2 Weeks Ago

Medical Staff Credentialing Specialist

McLaren Medical Group

Flint, MI | Full Time

$36k-45k (estimate)

8 Months Ago

Allergy Territory Account Specialist – Flint, MI – Remote

Novartis

Flint, MI | Full Time

$63k-86k (estimate)

2 Months Ago

Credentialing Specialist - Remote

$41k-51k (estimate)

Full Time 2 Weeks Ago

Save

Sorry! This job is no longer available. Please explore similar jobs listed on the left.

McLaren Integrated HMO Group is Hiring a Remote Credentialing Specialist - Remote

About Us

McLaren Health Care is a fully integrated health network committed to quality, evidence-based patient care with locations in Michigan and Indiana. The McLaren system includes 13 hospitals in Michigan, ambulatory surgery centers, imaging centers, a primary and specialty care physician network, commercial and Medicaid HMOs, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, one of only 53 National Cancer Institute-designated comprehensive cancer centers in the U.S.

Credentialing Specialist - Remote

Michigan, Flint

NEW

Administrative/Clerical

McLaren Integrated HMO Group

24002810

We are looking for a Credentialing Specialist, to join us in leading our organization forward.

McLaren Integrated HMO Group (MIG), a division of McLaren Health Care Corporation, is an organization with a culture of high performance and a mission to help people live healthier and more satisfying lives.

McLaren Health Plan and MDwise, Inc., subsidiaries of MIG, value the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plans can thrive. As an employee MIG, you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members.

McLaren Health Plan is our Michigan-based health plan dedicated to meeting the health care needs of each of our Michigan members. Learn more about McLaren Health Plan at https://www.mclarenhealthplan.org

MDwise is our Indiana-based health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health insurance programs. Learn more about MDwise, Inc. at https://www.mdwise.org/

Position Summary:

Responsible for processing and maintaining all potential provider applications for participation with The Plan. Generates provider profiles in the credentialing data base, including creation of the Council for Affordable Quality Healthcare (CAQH) records and liaison with PVCS. Responsible for meeting established provider credentialing timelines. Develops and implement processes to monitor credentialing National Committee for Quality Assurance (NCQA) standards and all other regulatory agencies and ensure The Plan’s compliance with such. Supports and coordinates credentialing activities with Network Development. Assists in preparing credentialing activity reports and other ad hoc reports as necessary. Responsible for research and resolution of identification and resolution of credentialing issues. Identifies process improvement opportunities and develops plans to address opportunities.

This position is fully remote.

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans

Qualifications:

Required:

High School Diploma or equivalent (GED).
One (1) year experience in a HMO, provider office, or health care.

Preferred:

Associate degree in business, health care or related field.
Two (2) years’ experience in a HMO, provider office, or health care.
Two (2) years healthcare claims and/or billing experience with basic understanding of payment methodology and medical terminology.

Additional Information

Schedule: Full-time
Requisition ID: 24002810
Daily Work Times: 8:00 am - 5:00 pm
Hours Per Pay Period: 80
On Call: No
Weekends: No

McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.

Job Summary

JOB TYPE

Full Time

SALARY

$41k-51k (estimate)

POST DATE

04/24/2024

EXPIRATION DATE

04/28/2024

Utilization Management, RN, IN - Remote

McLaren Integrated HMO Group

Remote | Full Time

$79k-98k (estimate)

3 Weeks Ago

Community Engagement Specialist, MI - Hybrid

McLaren Integrated HMO Group

Full Time

$61k-79k (estimate)

2 Months Ago

Program Manager Strategic Initiatives, MI - Remote

McLaren Integrated HMO Group

Remote | Full Time

$119k-159k (estimate)

2 Months Ago

The job skills required for Credentialing Specialist - Remote include Patient Care, Billing, Health Care, Quality Assurance, Process Improvement, etc. Having related job skills and expertise will give you an advantage when applying to be a Credentialing Specialist - Remote. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Credentialing Specialist - Remote. Select any job title you are interested in and start to search job requirements.

Patient Care View Jobs

Billing View Jobs

Health Care View Jobs

Quality Assurance View Jobs

Process Improvement View Jobs

For the skill of Patient Care

Registered Nurse (RN) / PRN

Select Medical Holdings Corporation

Other

$82k-103k (estimate)

Just Posted

For the skill of Billing

Staff Optometrist

Great Lakes Bay Health Centers

Full Time

$119k-144k (estimate)

2 Months Ago

For the skill of Health Care

Security Officer Lead

McLaren Health Care

Full Time

$42k-56k (estimate)

Just Posted

The following is the career advancement route for Credentialing Specialist - Remote positions, which can be used as a reference in future career path planning. As a Credentialing Specialist - Remote, it can be promoted into senior positions as a Compliance Manager - Healthcare that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Credentialing Specialist - Remote. You can explore the career advancement for a Credentialing Specialist - Remote below and select your interested title to get hiring information.

Credentialing Specialist - Remote

Compliance Manager - Healthcare

Medical Staff Credentialing Specialist, Sr.

Medical Staff Credentialing Supervisor

Medical Staff Credentialing Specialist

McLaren Medical Group

Full Time

$36k-45k (estimate)

8 Months Ago

Allergy Territory Account Specialist – Flint, MI – Remote

Novartis

Remote | Full Time

$63k-86k (estimate)

2 Months Ago

If you are interested in becoming a Credentialing Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Credentialing Specialist for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Credentialing Specialist job description and responsibilities

A certified professional credentialing specialist ensures that staff members of a facility maintain licenses, training, and certifications based on federal and state law.

03/14/2022: Des Moines, IA

A credentialing specialist can have certificates that will prove useful to their field.

02/01/2022: Newark, NJ

Credentialing specialists also ensure that any services provided by medical facilities meet the required standards as set by state and federal government agencies.

02/21/2022: Evansville, IN

Credentialing specialists are part of an organization's administrative staff; they review medical policies, process contracts, and facilitate audit reports to validate that certified medical professionals comply with credentialing procedures.

02/01/2022: Las Cruces, NM

Credentialing specialists will also ensure that their employer meets state, federal and other regulations for quality of care.

01/18/2022: Pueblo, CO

Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Credentialing Specialist jobs

Credentialing specialists can often find work with a high school diploma or the equivalent.

01/25/2022: Kingsport, TN

Some employers strongly prefer credentialing specialists who have a Certified Provider Credentialing Specialist (CPCS) credential.

03/01/2022: Parkersburg, WV

While an associate degree may not be required for a position as a credentialing specialist, some employers may prefer applicants with a two-year degree.

12/25/2021: Little Rock, AR

Make Use Of Advanced Software For Monitoring.

01/18/2022: New London, CT

Stay Updated with the Coalition for Affordable Quality Healthcare's Credentialing Program.

01/31/2022: Portsmouth, OH

Step 3: View the best colleges and universities for Credentialing Specialist.

Butler University

Carroll College

Cooper Union

High Point University

Princeton University

Providence College