Credentialing Specialist - Start Now

We are on the lookout for an energetic Credentialing Specialist to join our dynamic team at Elevance Health in Phoenix, AZ.
Growing your career as a Full Time Credentialing Specialist is an incredible opportunity to develop productive skills.
If you are strong in communication, presentation and have the right personality for the job, then apply for the position of Credentialing Specialist at Elevance Health today!

Credentialing Specialist

• Job Family: Digital and Technology

• Type: Full time

• Date Posted:Oct 14, 2022

• Req #: JR27457

Location:

• National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint

• MA, Boston

• NY, Latham

• NY, Latham

• NY, Latham

• VA, Norfolk

• VA, Norfolk

Description

Build the Possibilities. Make an extraordinary impact.

Beacon offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care. Beacon Health Options is a proud member of the Elevance Health (formerly Anthem, Inc.) family of companies.

How you will make an impact:

As a Credentialing Specialist with Beacon Health Options, you will build provider credentials file and make file determinations regarding required credentialing criteria based on general guidelines, ensuring compliance with internal policies and external regulatory agencies.

Primary duties may include, but are not limited to:

• Receives provider applications and contacts providers for any additional supporting documentation or clarification.

• Builds file documentation and prepares file for credentialing committee review.

• Applies general guidelines in determining whether provider meets criteria and documents deficiencies.

• Prepares correspondence to providers regarding status.

• Assists in researching pended and probated applications and resolving discrepancies.

• Refers non-approved providers or questionable situations to senior representative.

• May assist in provider education and preparation of provider training materials.

Minimum Requirements:

• High school diploma;

• Minimum of 1 years credentialing or related experience; or

• Any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• Experience in Behavioral Health preferred

Applicable to Colorado Applicants Only

Hourly Pay Range*: $17.62/hr - $22.02/hr. Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

• The hourly or salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. The Company may ultimately pay more or less than the posted range. This range is only applicable for jobs to be performed in Colorado. This range may be modified in the future. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Companys sole discretion, consistent with the law.

Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Be part of an Extraordinary Team

Elevance Health is a health company dedicated to improving lives and communities and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide and Elevance Health approves a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 Worlds Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.ElevanceHealthinc.com. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact View email address on click.appcast.io for assistance.

EEO is the Law

Equal Opportunity Employer / Disability / Veteran

Please use the links below to review statements of protection from discrimination under Federal law for job applicants and employees.

• EEO Policy Statement

• EEO is the Law Poster

• EEO Poster Supplement-English Version

• Pay Transparency

• Privacy Notice for California Residents

Elevance Health, Inc. is an E-verify Employer

Need Assistance?

Email us (View email address on click.appcast.io) or call View phone number on click.appcast.io

Benefits of working as a Credentialing Specialist in Phoenix, AZ:

● Learning opportunities
● Company offers career progression opportunities
● Advantageous package