Credentials Examiner I

TL;DR

Credentials Examiner I (Healthcare): Managing the credentialing and recredentialing process for practitioners with an accent on data accuracy, regulatory compliance, and timely documentation verification. Focus on maintaining high-volume file closures, ensuring 99% quality assurance, and providing excellent customer service to internal and external stakeholders.

Location: Must be based in the United States

Salary: $16/hour

Company

hirify.global is a national health services organization specializing in population health, fitness, and specialty health care programs.

What you will do

• Obtain and verify required documentation for new and existing practitioner files via mail, fax, or phone.
• Manage high-volume file processing, meeting specific targets for Rehabilitative, Specialty, and Re-Credentialing files.
• Respond to provider inquiries via phone and email within a 48-hour window.
• Perform data entry and research within internal systems like Promis, PCT, and SharePoint.
• Ensure all credentialing activities meet state regulatory standards and internal quality benchmarks.
• Maintain a minimum 99% accuracy rate across all processed files.

Requirements

• High School Diploma or GED required.
• Must be able to work from home in the United States with a stable internet connection (minimum 50/10 Mbps).
• Proficiency in MS Office, specifically Excel.
• Typing speed of 45-50 wpm.
• Strong organizational, time management, and multi-tasking skills.
• Ability to maintain strict confidentiality and professional communication.

Culture & Benefits

• Fully remote work environment with company-provided technology equipment.
• Equal Opportunity Employer committed to diversity and inclusion.
• Structured training program for remote onboarding.
• Clear performance expectations and professional development opportunities.