Credentialing Coordinator - Cigna Healthcare - Remote

Credentialing providers, ensuring application data is correct and accurately submitted to committee within turnaround time.

Timely communication with providers via phone calls, emails and faxes.

Achieving all metrics/expectations.

Assisting team members with questions - as available.

Attending all team huddles, 1:1 and barrier check-ins.

The successful candidate will be responsible for all aspects of the credentialing and re-credentialing processes.

The Coordinator will assess risk and perform sanctions monitoring to ensure compliance with Cigna's policies, NCQA, and standards for Medical, Behavioral and Dental businesses.

Responsibilities:


* Reviews credentialing and re-credentialing files to determine risk and prepare summaries of all risk files requiring National Credentialing Committee Review.


* Reviews all newly identified sanctions and prepares summaries of all sanctions requiring National Credentialing Committee review.
Ensures documentation is prepared in time for committee packet mailing deadline.


* Ensure timely and professional communication with internal/external customers as needed to expedite timely resolution via phone, email, and fax.


* Correct any elements listed on the errors/quality reports as well as any other identified reports.


* Consistently performs to department accuracy and quality audit standard results while maintaining timeliness measures.


* Balance priorities and daily responsibilities and notify supervisor of any barriers.


* Completes assigned projects and corporate training within agreed upon time frames.

Qualifications:


* Associate's degree or higher strongly preferred or equivalent work experience required


* 1+ years of credentialing experience required


* Excellent technical, computer, and software skills specifically with Microsoft Office (Word, Excel, Outlook) highly preferred


* Experience with Adobe highly preferred


* Experience with Salesforce highly preferred


* Ability to work in fast paced, quick changing environment


* Professional organizational behavior


* Excellent time management and organizational skills


* Proficient in critical thinking and problem solving


* Strong attention to detail and quality results


* Deadline oriented and accountable for production


* Proficient in oral and written communication skills

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an hourly rate of 21 - 31 USD / hourly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure.

That's why you'll enjoy a comprehensive range of benefits, with a focus on s...