Credentialing Specialist

BroadPath Healthcare Solutions; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

A healthcare solutions provider is seeking a Credentialing Specialist to ensure timely credentialing of providers. This remote position requires 1+ years of experience in provider credentialing and involves verifying credentials, managing data, and communicating with providers. The ideal candidate will have strong organizational skills and attention to detail while thriving in a fast-paced environment.

Benefits

Flexible work hours

Inclusive work environment

Competitive compensation

Qualifications

• 1+ years of experience in provider credentialing for a health plan.
• Ability to handle high-volume work and meet deadlines.
• Familiarity with NCQA, CMS, and state credentialing standards.

Responsibilities

• Verify provider credentials through approved sources.
• Track and process credentialing and re-credentialing applications.
• Communicate with providers regarding credentialing status.

Skills

Provider credentialing experience

Typing speed of 50 WPM

Strong organizational skills

Time management skills

Attention to detail

Excellent communication skills

Job description

Overview

BroadPath is seeking a Credentialing Specialist to support our health plan operations by ensuring timely, accurate credentialing of providers. This role is key to maintaining compliance with internal standards and external regulations while supporting a high-quality provider experience. Join our team and enjoy the flexibility of working from the comfort of your own home. At BroadPath, we believe in assuming the best intentions of others and empowering our employees to use their voices. Grow with a company that is passionate about helping you reach your full potential. Become a part of transforming customer and client experiences through our innovative work-from-home technology.

Compensation Highlights

• Base pay: $20.00 per hour
• Pay frequency: Weekly pay!

Schedule Highlights

• No weekend work required
• Training Schedule: Monday-Friday, 8:00am-5:00pm Pacific Time
• Production Schedule: Monday-Friday, 8:00am-5:00pm Pacific Time

Responsibilities

• Verify provider credentials through approved sources in a timely and accurate manner
• Track and process credentialing and re-credentialing applications
• Enter and update provider information in the credentialing database
• Maintain and update provider demographics
• Monitor and manage data from delegated entities
• Communicate with providers or their office staff regarding credentialing status and required documentation
• Identify and report non-compliance or credentialing issues to the supervisor
• Ensure confidentiality of sensitive data and documents
• Perform other duties as assigned

Qualifications

• 1+ years of experience of provider credentialing for a health plan
• Ability to type a minimum of 50 WPM and 135 KSPM on ten keys
• Strong organizational and time management skills
• Ability to meet deadlines and handle high-volume work
• Able to work independently and in a team setting
• Strong attention to detail and problem-solving skills
• Familiarity with NCQA, CMS, and state credentialing standards
• Excellent written, verbal, and interpersonal communication skills

Diversity Statement

At BroadPath, diversity is our strength. We embrace individuals from all backgrounds, experiences, and perspectives. We foster an inclusive environment where everyone feels valued and empowered. Join us and be part of a team that celebrates diversity and drives innovation!

Equal Employment Opportunity/Disability/Veterans

If you need accommodation due to a disability, please email us at [e-mail]. This information will be held in confidence and used only to determine an appropriate accommodation for the application process

BroadPath is an Equal Opportunity Employer. We do not discriminate against our applicants because of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law.

Compensation: BroadPath has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.