Credentialing Representative

Credentialing Representative
Wheeling, WV
Full-Time
Provider Relations
Manager of Department

Under the direct supervision of the Director of Credentialing, responsible for credentialing of providers and facilities and associated activities in support of the credentialing process in accordance with established Health Plan credentialing policies following NCQA, Medicare, the state of West Virginia, West Virginia Medicaid and the state of Ohio policies and procedures. 

  • Associates Degree and/or 2+ years (level I-III) related healthcare experience
  • Excellent Communications skills, both written and verbal
  • Attention to detail and commitment to excellence
  • Ability to troubleshoot, problem solve and work independently
  • Experience in working with Microsoft Word and Excel

  • Four-year college degree
  • Related certification
  • Experience with data systems
  • Knowledge of medical coding and terminology

Employment Documents

EEO

Or, if you are interested in a fast-paced career with us, please send resume with salary requirements to:

HR Department 
1110 Main Street
Wheeling, WV 26003-2704
hr@healthplan.org