Credentialing Support Associate III

Guardian Life

. Maintain accurate provider information by entering, updating, and auditing data within credentialing systems .

Posted 9/24/2026full-timeRemote • California • United StatesJuniorMid-Level💰 $23 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in provider credentialing processes, including data entry, auditing, and compliance with regulatory requirements. Proficient in managing multiple priorities while ensuring data accuracy and effective communication with stakeholders.

Highest-signal resume keywords

Provider Credentialing ExperienceData Entry and AuditingPrimary Source VerificationRegulatory Compliance KnowledgeMicrosoft Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data MaintenanceCredentialing ProcessesRecredentialing ActivitiesDocumentation ManagementData AccuracyHealthcare OperationsProvider EnrollmentCredentialing SoftwareBusiness SystemsPrimary Source Verification

Soft Skills

Attention to DetailVerbal CommunicationWritten CommunicationOrganizational SkillsTime Management

Tools & Technologies

Microsoft ExcelMicrosoft OutlookCredentialing SoftwareProvider Management Systems

Industry Keywords

NCQACMSHealthcare Regulatory RequirementsCredentialing StandardsProvider Networks

About the role

Key responsibilities & impact

Maintain accurate provider information by entering, updating, and auditing data within credentialing systems
Coordinate recredentialing activities, including distributing recredentialing communications and monitoring provider responses
Communicate with providers to obtain missing documentation, resolve discrepancies, and ensure complete credentialing files
Conduct primary source verification activities for initial credentialing and recredentialing applications in accordance with regulatory requirements and company standards
Track and follow up on outstanding credentialing requirements to support timely processing and compliance
Partner with internal stakeholders to ensure provider records are accurate, complete, and compliant with organizational policies
Support continuous improvement efforts that enhance credentialing processes and data quality
Report to the Credentialing leadership team

Requirements

What you’ll need

High school diploma or equivalent
Experience supporting provider credentialing, healthcare operations, provider enrollment, or administrative processes
Experience maintaining and updating data within databases or business systems
Strong attention to detail and commitment to data accuracy
Excellent verbal and written communication skills
Ability to follow established processes and regulatory requirements
Strong organizational and time management skills
Ability to manage multiple priorities in a deadline-driven environment
Proficiency with Microsoft Office applications, including Excel and Outlook
Experience with provider credentialing and recredentialing processes preferred
Familiarity with NCQA, CMS, state, or other healthcare regulatory requirements preferred
Experience conducting primary source verification activities preferred
Experience working with credentialing software or provider management systems preferred
Knowledge of healthcare provider networks and credentialing standards preferred
Must be legally authorized to work in the United States without employer sponsorship/support now or at any time in the future

Benefits

Comp & perks

Support and flexibility to achieve professional and personal goals
Skill-building opportunities
Leadership development opportunities
Philanthropic opportunities
Contemporary, supportive, flexible, and inclusive benefits and resources
Benefits for full-time eligible employees