Credentialing Support Associate III

This is a fully remote position, open to applicants in California.

📋 Description

• Ensure the accuracy of provider information by entering, updating, and auditing data within credentialing systems.

• Oversee recredentialing activities, which include sending recredentialing communications and tracking provider responses.

• Engage with providers to gather missing documentation, address discrepancies, and guarantee comprehensive credentialing files.

• Perform primary source verification for both initial credentialing and recredentialing applications.

• Monitor and follow up on outstanding credentialing requirements to facilitate timely processing and compliance.

• Collaborate with internal stakeholders to maintain accurate, complete, and compliant provider records.

• Contribute to ongoing improvement initiatives that enhance credentialing processes and data integrity.

• Report to the Credentialing leadership team.

⛳️ Requirements

• High school diploma or equivalent.

• Experience in supporting provider credentialing, healthcare operations, provider enrollment, or administrative tasks.

• Background in maintaining and updating data within databases or business systems.

• Strong attention to detail with a commitment to data precision.

• Excellent verbal and written communication abilities.

• Capability to adhere to established processes and regulatory standards.

• Strong organizational skills and effective time management.

• Ability to juggle multiple priorities in a deadline-driven setting.

• Proficiency in Microsoft Office applications, particularly Excel and Outlook.

• Familiarity with provider credentialing and recredentialing processes.

• Knowledge of NCQA, CMS, state, or other healthcare regulatory standards.

• Experience in conducting primary source verification activities.

• Familiarity with credentialing software or provider management systems.

• Understanding of healthcare provider networks and credentialing standards.

• Legally authorized to work in the United States without requiring employer sponsorship, now or in the future.

🏝️ Benefits

• Skill-building opportunities.

• Leadership development opportunities.

• Philanthropic opportunities.

• Supportive, flexible, and inclusive benefits and resources.

• Benefits are applicable to full-time eligible employees.