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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 provider file management, re-credentialing, and internal audits. Proficient in coordinating with verification organizations and maintaining accurate provider records.
Highest-signal resume keywords
Credentialing ExperienceProvider File ManagementInternal AuditsMicrosoft Applications KnowledgeCommunication Skills
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 ProcessesProvider Approval ManagementRe-Credentialing ReviewsLicense ReviewData Management
Soft Skills
CommunicationCoordinationAttention to Detail
Tools & Technologies
Credentialing Verification OrganizationMicrosoft Applications
Industry Keywords
Provider RecordsNPI NumbersCAQH ProfileCredentialing Program
About the role
Key responsibilities & impact- Perform daily credentialing functions, including processing completed provider files and inputting provider approval dates
- Manage provider Fountain credentialing processes
- Coordinate with the Credentialing Verification Organization to ensure timely completion, downloading, and uploading of files and update systems with decisions
- Correspond with providers regarding missing data such as NPI numbers and CAQH profile information
- Ensure accurate storage of provider records
- Ensure timely re-credentialing of the credentialed provider network
- Coordinate timely completion of re-credentialing reviews for clinicians
- Review credentialed licenses for accuracy
- Conduct quarterly internal audits for efficiency and accuracy within the Credentialing Program
- Perform other related duties as assigned
- Support and assist the Credentialing Manager with projects and administrative functions
Requirements
What you’ll need- 1+ year(s) of professional work experience in a highly communicative role required
- Bachelor’s degree in a related field preferred
- Knowledge of Microsoft and/or similar applications
- Credentialing experience highly preferred
- Ability to work remotely based on Eastern Time
Benefits
Comp & perks- Comprehensive Medical, Dental and Vision plans coverage since day one
- Pre-tax benefits: HSA/ FSA
- 401k Retirement Savings Program with matching up to 4%
- Voluntary benefits including disability, basic life or pet insurance, etc.
- Monthly Wellness Stipend to promote mental and physical self-care
- PTO and Remote First Environment
- Regular team events, including Wellness Workshops and Team Building Events
- Free access to Talkspace products for you and one household member, as well as access to a friends and family discount!
