Associate Credentialing Representative in United States at Jobgether
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Job Description
This position is posted by Jobgether on behalf of a partner company. We are currently looking for an Associate Credentialing Representative in the United States.
This role plays an important part in ensuring the accuracy, completeness, and compliance of provider credentialing data within a healthcare environment. You will be responsible for processing provider applications and re-applications, verifying information, and maintaining up-to-date provider records in internal systems. Working closely with providers, vendors, and internal teams, you will help ensure smooth onboarding and ongoing data integrity across dental provider networks. The position involves handling both routine and more complex credentialing updates while supporting audits, reporting, and process improvements. You will also communicate regularly with external stakeholders to resolve issues and clarify requirements. This is a detail-oriented role where accuracy, organization, and regulatory awareness are essential to supporting high-quality healthcare network operations.
- Process provider credentialing and re-credentialing applications, ensuring all required documentation is complete, accurate, and compliant with internal standards.
- Communicate with providers and external partners via phone and email to request missing information and provide updates on credentialing status.
- Perform data entry and updates within provider databases, ensuring accuracy of network assignments and credentialing records.
- Support credentialing verifications, audits, and documentation retrieval to ensure regulatory and operational compliance.
- Manage credentialing workloads, reports, and timelines to meet established service levels and deadlines.
- Assist in resolving complex credentialing issues and contribute to process improvements and automation initiatives.
- High school diploma or GED required; additional education in healthcare administration or related fields is a plus.
- 0–1 years of experience in provider data management, customer service, claims, or related administrative roles.
- Basic proficiency in Microsoft Office (Word, Excel, PowerPoint) and ability to learn new systems quickly.
- Strong written and verbal communication skills with a professional and customer-focused approach.
- High attention to detail and ability to manage sensitive data in compliance with privacy and security standards (HIPAA knowledge is a plus).
- Ability to organize workload effectively, meet deadlines, and handle multiple priorities in a structured environment.
- Familiarity with credentialing processes, provider databases, or healthcare operations is preferred.
- Competitive pay range: $19.66 – $27.42 per hour.
- Comprehensive healthcare coverage including medical, dental, and vision benefits.
- Paid time off and holiday benefits to support work-life balance.
- Retirement savings options and employee financial wellness programs.
- Remote work flexibility within Pennsylvania (home-based position).
- Training opportunities and exposure to healthcare credentialing and compliance operations.
- Inclusive work environment with strong focus on ethics, privacy, and professional development.