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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 quality assurance, data management, and provider communication. Proficient in managing relationships with Credentialing Verification Organizations and maintaining accurate provider data.
Highest-signal resume keywords
Credentialing ExperienceQuality Assurance ChecksProvider Data ManagementCommunication SkillsMicrosoft Office Proficiency
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 FunctionsQuality ChecksData EntryProvider OutreachAudit Support
Soft Skills
CommunicationRelationship Management
Tools & Technologies
ZendeskFountainG-Suite
Industry Keywords
CVONPI NumbersCAQH ProfileProvider RetentionDelegated Credentialing Agreements
About the role
Key responsibilities & impact- Perform all daily credentialing functions and quality checks of credentialing files, approval dates, license expiration dates, and provider data
- Monitor credentialing file status and communicate updates to Credentialing Verification Organizations (CVO)
- Manage accurate provider data entry, including NPI numbers and CAQH profile information
- Correspond with providers via Zendesk
- Coordinate with CVOs and providers on credentialing correspondence and documentation in Fountain
- Conduct weekly follow-up for provider re-credentialing and maintain CVO databases and Fountain files
- Perform quality assurance checks on uploaded clinician documents and maintain accurate provider statuses
- Support provider outreach and retention in high-need states
- Assist with quarterly internal and annual external CVO audits
- Provide audit data to the Credentialing Manager and Enterprise clients
- Review credentialed license data and follow up on expired licenses
- Maintain relationships with Enterprise clients under delegated credentialing agreements
- Perform other related duties as assigned
Requirements
What you’ll need- 2-3 years of professional work experience in a highly communicative role.
- Proficiency in Microsoft or like applications
- Proficiency with G-Suite or like applications
- Bachelor’s Degree preferred.
- Credentialing experience preferred.
Benefits
Comp & perks- Comprehensive Medical, Dental and Vision plans
- 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
- Flexible 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!
