Credentialing Associate

Job Summary

Credentialing Associate provides full-time entry-level support for credentialing activities, ensuring compliance with regulatory standards while managing the credentialing and recredentialing processes for health care providers.

Key Responsibilities

• Evaluate credentialing applications for accuracy and completeness, obtaining necessary verifications
• Communicate with health care providers to clarify questions and request missing information
• Review and process daily alerts related to sanctions, exclusions, and provider status updates

Required Qualifications

• At least 1 year of experience in a data processing, production, or administrative role, preferably in a health care setting
• Data entry skills and proficiency in Microsoft Office suite
• Self-direction and logical thinking abilities
• Internet research experience
• Ability to work collaboratively in a highly matrixed organization