Credentialing Assistant

Job Summary

Credentialing Assistant, responsible for screening reviewers for credentialing and background information in a full-time remote position, while coordinating with multiple departments to support reviewer credentialing processes.

Key Responsibilities

• Conduct initial credentialing and recredentialing of reviewers, including data entry and verification of certifications and licenses
• Manage updates for expired licenses and certifications, and perform background and sanction checks
• Participate in the Quality Management Committee and assist team members with credentialing-related inquiries

Required Qualifications

• Preferred Associate's Degree or Bachelor's Degree
• Credentialing experience in a healthcare or insurance setting is preferred
• Knowledge of URAC and relevant State and Federal guidelines
• Computer literacy and typing skills are required
• Ability to maintain an uninterrupted internet connection for remote work