Credentialing Support Associate III

Guardian Life

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

Posted 10/7/2026full-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 management, primary source verification, and compliance with healthcare regulations. Strong communication and organizational skills are essential for managing multiple priorities and ensuring data accuracy.

Highest-signal resume keywords

Provider Credentialing ExperiencePrimary Source VerificationData ManagementRegulatory ComplianceMicrosoft Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data EntryCredentialing ProcessesRecredentialing ActivitiesDocumentation ManagementData AuditingHealthcare OperationsProvider EnrollmentCredentialing SoftwareDatabase ManagementAttention to Detail

Soft Skills

Verbal CommunicationWritten CommunicationOrganizational SkillsTime ManagementProblem-Solving

Tools & Technologies

Microsoft ExcelMicrosoft OutlookCredentialing SystemsProvider 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
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
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
Familiarity with NCQA, CMS, state, or other healthcare regulatory requirements
Experience conducting primary source verification activities
Experience working with credentialing software or provider management systems
Knowledge of healthcare provider networks and credentialing standards
Legally authorized to work in the United States without employer sponsorship now or in the future

Benefits

Comp & perks

Skill-building opportunities
Leadership development opportunities
Philanthropic opportunities
Supportive, flexible, and inclusive benefits and resources
Benefits apply to full-time eligible employees