Credentialing Representative

Job Summary

A company is looking for a Credentialing Representative.

Key Responsibilities

• Process provider applications and re-credentialing, including initial mailing and database tracking
• Conduct audits and provide feedback to enhance processes and performance
• Resolve standard and non-standard requests independently and consult on complex issues

Required Qualifications

• High School Diploma/GED (or higher)
• 1+ years of experience in credentialing, provider relations, and quality management in healthcare
• Basic proficiency with MS Excel and Word