Associate Credentialing Representative
New
Remote work flexibility within PennsylvaniaFull-TimeEntry
Salary19.66 - 27.42 USD per hour
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Job Details
- Experience
- 0–1 years
- Required Skills
- Customer serviceMicrosoft OfficeData entryHIPAA
Requirements
- High school diploma or GED required; additional education in healthcare administration or related fields is a plus.
- 0–1 years of experience in provider data management, customer service, claims, or related administrative roles.
- Basic proficiency in Microsoft Office (Word, Excel, PowerPoint) and ability to learn new systems quickly.
- Strong written and verbal communication skills with a professional and customer-focused approach.
- High attention to detail and ability to manage sensitive data in compliance with privacy and security standards (HIPAA knowledge is a plus).
- Ability to organize workload effectively, meet deadlines, and handle multiple priorities in a structured environment.
- Familiarity with credentialing processes, provider databases, or healthcare operations is preferred.
Responsibilities
- Process provider credentialing and re-credentialing applications, ensuring all required documentation is complete, accurate, and compliant with internal standards.
- Communicate with providers and external partners via phone and email to request missing information and provide updates on credentialing status.
- Perform data entry and updates within provider databases, ensuring accuracy of network assignments and credentialing records.
- Support credentialing verifications, audits, and documentation retrieval to ensure regulatory and operational compliance.
- Manage credentialing workloads, reports, and timelines to meet established service levels and deadlines.
- Assist in resolving complex credentialing issues and contribute to process improvements and automation initiatives.
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