обновлено 11 часов назад
Associate Credentialing Representative
Вакансия из Hirify Global, списка международных tech-компанийДля мэтча и отклика нужен Plus
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Associate Credentialing Representative: Processing provider applications and re-credentialing, maintaining provider databases, and coordinating credentialing verifications with an accent on accuracy, URAC-aligned credentialing standards, and HIPAA-compliant handling of confidential information. Focus on screening and loading provider data into dental provider file systems, managing credentialing inventory and timelines, and resolving complex credentialing issues through provider outreach and reporting.
Location: Working at Home - Pennsylvania
Company
processes provider credentialing and related healthcare administration services.
What you will do
- Credential and re-credential providers, including initial mailing, review, and loading of provider information.
- Screen incoming applications and paperwork for completeness and accuracy; send required materials to the credentialing vendor.
- Contact providers or representatives by phone or in writing to obtain additional information during enrollment processing.
- Perform credentialing verifications when needed and load providers into appropriate networks and the provider database.
- Manage credentialing inventory, reports, and projects to meet established time frames; create and distribute monthly reports.
- Support audits, business partners, internal departments, and external clients; act as a subject matter expert and handle complex credentialing issues.
Requirements
- Location: Must be based in Pennsylvania (working at home in Pennsylvania)
- High school diploma or GED
- 0–1 years of experience
- Experience in provider data management, customer services, or claims
- Proficiency with Microsoft Office (Word, Excel, PowerPoint)
- Good written and verbal communication; strong written communication and presentation skills
Culture & Benefits
- HIPAA and company privacy/security compliance required due to access to covered and confidential information.
- Adherence to the company Code of Business Conduct and applicable federal/state laws, rules, and regulations.
- Work is performed from home with no travel required.
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