Credentialing Specialist

Hispanic Alliance for Career Enhancement; Franklin (TN); On-site; USD 23,419 - 39,206; Full time

Benefits offered by this job

Medical, dental, vision coverage

Retirement savings options

Wellness programs

Job summary

Hispanic Alliance for Career Enhancement seeks a Credentialing Data Analyst to review and validate provider information to ensure credentialing and business requirements are met.

You will maintain and update records in credentialing databases with high accuracy, support data research, and escalate sensitive issues as needed. This role requires handling confidential information professionally, organizing tasks efficiently, and communicating clearly with providers and staff.

Qualifications

• 1+ years customer service experience.
• 6+ months researching and analyzing data.
• 6+ months using Word, Excel, Access and internet research.
• Ability to handle confidential information with discretion.
• Strong organization and ability to manage multiple priorities.
• Excellent verbal and written communication skills.

Responsibilities

• Assist with reviewing, analyzing, and validating provider/producer information to meet credentialing requirements.
• Maintain and update provider/producer records in credentialing databases with a high level of accuracy.
• Support research and review of provider/producer information, escalating sensitive or complex issues as needed.
• Identify and correct data discrepancies to support overall data integrity.
• Handle confidential and sensitive information with professionalism, discretion, and care.
• Organize and prioritize assigned tasks to meet deadlines in a fast-paced environment.
• Draft and respond to basic professional correspondence, including emails and routine notices.
• Communicate effectively with providers, internal staff, and management under guidance and supervision.
• Work independently on routine tasks while seeking guidance for new or complex issues.
• Use Microsoft Office applications (Word, Excel, Access) and internet resources to research and maintain information.
• Demonstrate strong attention to detail and willingness to learn credentialing policies, procedures, and systems.

Skills

Customer service

Data analysis

MS Office

Confidential information handling

Organization

Communication

Education

High School Diploma / Associate's degree

Tools

Microsoft Office (Word, Excel, Access)

Job description

Position Summary

Reviews analyzes, evaluates, validates provider/producer information against business/credentialing requirements and maintains information on Credentialing databases. Supports extensive research and analysis of sensitive provider/producer issues; addresses data integrity issues.

Job Description

• Assist with reviewing, analyzing, and validating provider/producer information to ensure it meets credentialing and business requirements
• Maintain and update provider/producer records in credentialing databases with a high level of accuracy
• Support research and review of provider/producer information, escalating sensitive or complex issues as needed
• Help identify and correct data discrepancies to support overall data integrity and compliance
• Handle confidential and sensitive information with professionalism, discretion, and care
• Organize and prioritize assigned tasks to meet deadlines in a fast-paced environment
• Draft and respond to basic professional correspondence, including emails and routine notices
• Communicate effectively with providers, internal staff, and management under guidance and supervision
• Work independently on routine tasks while seeking guidance for new or complex issues
• Use Microsoft Office applications (Word, Excel, Access) and internet resources to research and maintain information
• Demonstrate strong attention to detail and willingness to learn credentialing policies, procedures, and systems

Required Qualifications

• 1+ years customer service experience.
• 6+ months experience researching and analyzing data.
• 6+ months experience working with Microsoft Office applications (Word, Excel, Access) and internet resources.
• Ability to work reliably, prudently, and tactfully with confidential information.
• Ability to organize and prioritize work and manage multiple priorities.
• Excellent verbal and written communication skills including, letters, memos, and emails.

Preferred Qualifications

• Ability to work independently on routine tasks
• Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization.
• College degree or equivalent work experience

Education

High School Diploma/Associate's degree preferred

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

$17.00 - $28.46

Benefits

Benefits include medical, dental, vision coverage, paid time off, retirement savings options, wellness programs, and other resources.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.