Credentialing Assistant

Job Summary

To support the credentialing process, the remote Credentialing Assistant will manage the screening of reviewers, conduct background checks, and coordinate with multiple departments to ensure compliance with credentialing standards.

Key responsibilities

• Perform initial credentialing by entering reviewer application data and conducting primary source verifications
• Manage recredentialing processes, including sending applications and conducting background checks on reviewers
• Update and maintain records for expired licenses, board certifications, and other relevant documentation

Required qualifications

• Associate's Degree or Bachelor's Degree preferred
• Credentialing experience in a healthcare or insurance setting preferred
• Knowledge of URAC and relevant State and Federal guidelines
• Proficiency in medical terminology and computer literacy
• Ability to manage time efficiently and meet specific deadlines