Credentialing Representative

Job Summary

Overseeing the credentialing process for providers, the full-time Credentialing Representative will manage applications, verify credentials, and ensure compliance with regulatory standards while working remotely.

Key responsibilities

• Collect and review credential applications for completeness and accuracy, ensuring all required documents are obtained
• Verify provider credentials through primary sources and maintain accurate records in the credential database
• Participate in quality assurance activities and collaborate with stakeholders to address compliance issues

Required qualifications

• 3 years of experience in customer service, preferably in a sales environment
• High school diploma or equivalent required
• Proficiency in Microsoft Office applications and ability to type a minimum of 35 WPM
• Detail-oriented with strong organizational skills and ability to manage multiple contracts
• Excellent writing skills and effective communication abilities