Associate Credentialing Representative

This is a fully remote position, open to applicants in Louisiana, +4 more states.

📋 Description

• Process applications and re-applications from providers, including the initial mailing, review, and data entry.

• Manage the provider database and communicate with providers about their credentialing status.

• Conduct credentialing, re-credentialing, and related tasks while coordinating credentialing verifications.

• Evaluate and handle complex additions, updates, and deletions of provider information.

• Educate credentialing staff on the usage of various systems, software, databases, and procedures.

• Engage in projects aimed at streamlining, automating, or improving credentialing functions.

⛳️ Requirements

• Minimum of a High School Diploma or GED.

• 0-1 years of relevant experience.

• Background in Provider Data Management, Customer Service, or Claims.

• Proficiency in Microsoft Office (e.g., Word, Excel, PowerPoint, etc.).

• Familiarity with credentialing processes and URAC standards is preferred.

• Experience with Customer Service inquiry systems or claims processing concepts is preferred.

🏝️ Benefits

• Health insurance.

• 401(k) matching.

• Paid time off.

• Flexible work arrangements.