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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in credentialing processes, including application preparation and database management, while maintaining compliance with payor requirements. Strong organizational and communication skills are essential for managing multiple tasks and fostering relationships with key stakeholders.
Highest-signal resume keywords
Credentialing ExperienceFamiliarity With Medicare And MedicaidProficiency In Microsoft Office SuiteStrong Organizational AbilityExcellent Attention To Detail
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Credentialing ApplicationsDatabase ManagementEDI EnrollmentEFT EnrollmentERA EnrollmentHealthcare AdministrationMathematical SkillsComputer SkillsReasoning SkillsLanguage Skills
Soft Skills
Proficient Communication SkillsAbility To Manage Multiple TasksAttention To DetailRelationship Cultivation
Tools & Technologies
Monday.comSalesforce
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
HealthcarePayor RequirementsManaged Medicaid Care OrganizationsCommercial Health Plans
About the role
Key responsibilities & impact- Assist in preparing and submitting credentialing applications for payors
- Maintain and update credentialing databases and files, ensuring documentation is complete and accurate
- Assist with payor portal updates and provide access for internal and external users as needed
- Support EDI/EFT/ERA enrollment efforts with payors
- Communicate with internal departments to gather information requested by payors
- Assist in resolving credentialing issues or discrepancies
- Stay informed about changes in payor requirements and regulations
- Support the credentialing team with administrative tasks
- Perform other related duties assigned by the supervisor
Requirements
What you’ll need- High School Diploma or GED required; bachelor’s degree preferred
- Minimum of 1-2 years of experience in a healthcare administrative role, preferably in credentialing
- Familiarity with Medicare, Medicaid, Managed Medicaid Care Organizations, and commercial/private health plans
- Ability to identify and cultivate relationships with key points of contact to drive business objectives
- Strong organizational ability, proficient communication skills, and excellent attention to detail
- Ability to manage multiple tasks simultaneously in a fast-paced, deadline-driven environment
- Proficiency in Microsoft Office Suite, Monday.com, and Salesforce preferred
- Mathematical, computer, reasoning, and language skills at the professional level
- Reliable high-speed internet access
- Ability to sit for extended periods, use hands and fingers repetitively for typing and mouse operation, read computer screens and documents, communicate via phone and video calls, and occasionally lift up to 10 pounds
Benefits
Comp & perks- Competitive compensation and benefits reflecting local market practices and legal requirements
- Fully remote work from a home office or other suitable remote location
- Flexible work schedule and hours established with the leader and adjustable to business needs
- Reasonable accommodations for individuals with disabilities