Job Description
Responsibilities:
● Ensure credentialing files are being completed in a timely and accurate manner
● Adhere to Medallion internal SLAs
● Complete primary source verifications
○ Education and Board verifications
○ State Licenses
● Reviewing credentialing files and marking them as ready to complete the credentialing
process
● Resolve day-to-day questions and blockers for your team and escalate priority issues when
needed
● Participate in team meetings alongside other team members to discuss credentialing issues,
provide feedback to product and engineering, and discuss process improvement changes
● Communicating with providers through the credentialing process, assigning out tasks and
following up on outstanding tasks
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.
Required Skills & Experience
2+ years of provider credentialing experience, especially with payers (Optum is a must)
● Experience submitting files in accordance with NCQA standards
● Familiarity with state-specific credentialing requirements
● Previous experience working for a CVO (Credentials Verification Organization)
● Experience working in a team environment
● High attention to detail including effective communications at all organizational levels
● Demonstrated organizational skills and ability to adhere to timelines and SLA metrics
● Expertise in using GSuites tools include GSheets, GDocs, and GMail
Nice to Have Skills & Experience
● Familiarity or experience with provider enrollment or medical licensing
● Startup experience
Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.