Credentialing Support Associate III

Guardian Life; Newport Beach, Northern (CA, KY); Hybrid; USD 44,000 - 66,000; Full time

Job summary

Guardian Life is seeking a Credentialing Support Associate III to maintain and audit provider records, coordinate recredentialing, and obtain missing documents in a fully remote role with a Newport Beach regional office in California.

You will perform primary source verification, resolve discrepancies, and ensure timely, compliant credentialing files while collaborating with internal teams and providers.

Qualifications

• Minimum high school diploma or equivalent; degree preferred.
• Experience with provider credentialing, healthcare operations or administrative processes.
• Strong attention to detail and data accuracy; regulatory familiarity is a plus.

Responsibilities

• Maintain and audit provider information in credentialing systems.
• Coordinate recredentialing activities and communications.
• Obtain missing documentation and resolve discrepancies.
• Perform primary source verification per regulatory standards.
• Track outstanding requirements to support timely processing.
• Collaborate with internal stakeholders to ensure compliant records.

Skills

Verbal communication

Written communication

Attention to detail

Data entry

Excel

Outlook

Time management

Organizational skills

Education

High school diploma or equivalent

Associate's or Bachelor's degree preferred

Tools

Credentialing software

Provider management systems

Job description

## Credentialing Support Associate IIIApply: Fully Remote: Work From Home - CA: Full time: Posted Today: R000110306## **Position Summary**Are you detail-oriented and passionate about ensuring accuracy and compliance in healthcare provider data? Do you enjoy working in a fast-paced environment where organization, communication, and problem-solving are critical to success?Guardian is seeking a **Credentialing Support Associate III** to support the provider credentialing and recredentialing process by maintaining accurate provider records, coordinating provider outreach, and ensuring compliance with regulatory and organizational requirements. In this role, you will work closely with providers and internal stakeholders to validate information, resolve discrepancies, and support high-quality provider network operations. ## **You Are**A highly organized professional with exceptional attention to detail and a commitment to accuracy. You thrive in structured processes, enjoy managing multiple priorities, and can effectively communicate with providers to obtain critical information and resolve issues. You understand the importance of compliance and take pride in maintaining accurate records while delivering excellent customer service. ## **You Have**### **Required Qualifications*** High school diploma or equivalent; Associate's or Bachelor's degree preferred* Experience supporting provider credentialing, healthcare operations, provider enrollment, or administrative processes* Experience maintaining and updating data within databases or business systems* Strong attention to detail and commitment to data accuracy* Excellent verbal and written communication skills* Ability to follow established processes and regulatory requirements* Strong organizational and time management skills* Ability to manage multiple priorities in a deadline-driven environment* Proficiency with Microsoft Office applications, including Excel and Outlook### **Preferred Qualifications*** Experience with provider credentialing and recredentialing processes* Familiarity with NCQA, CMS, state, or other healthcare regulatory requirements* Experience conducting primary source verification activities* Experience working with credentialing software or provider management systems* Knowledge of healthcare provider networks and credentialing standards ## **You Will*** Maintain accurate provider information by entering, updating, and auditing data within credentialing systems.* Coordinate recredentialing activities, including distributing recredentialing communications and monitoring provider responses.* Communicate with providers to obtain missing documentation, resolve discrepancies, and ensure complete credentialing files.* Conduct primary source verification activities for initial credentialing and recredentialing applications in accordance with regulatory requirements and company standards.* Track and follow up on outstanding credentialing requirements to support timely processing and compliance.* Partner with internal stakeholders to ensure provider records are accurate, complete, and compliant with organizational policies.* Support continuous improvement efforts that enhance credentialing processes and data quality. ## **Reporting Relationships**As our **Credentialing Support Associate III**, you will report to the Credentialing leadership team. ## **Location**The primary location for this position is Remote with regional office in **Newport Beach, CA**. ## **Salary Range****$23.00 per hour** **Annualized Salary: Approximately $47,840****Salary Range:**$43,690.00 - $65,530.00The salary range reflected above is a good faith estimate of base pay for the primary location of the position. The salary for this position ultimately will be determined based on the education, experience, knowledge, and abilities of the successful candidate. In addition to salary, this role may also be eligible for annual, sales, or other incentive compensation. **Our Promise** At Guardian, you’ll have the support and flexibility to achieve your professional and personal goals. Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards. **Inspire Well-Being** As part of Guardian’s Purpose – to inspire well-being – we are committed to offering contemporary, supportive, flexible, and inclusive benefits and resources to our colleagues. Explore our company benefits at www.guardianlife.com/careers/corporate/benefits. *Benefits apply to full-time eligible employees. Interns are not eligible for most Company benefits.* **Equal Employment Opportunity** Guardian is an equal opportunity employer. All qualified applicants will be considered for employment without regard to age, race, color, creed, religion, sex, affectional or sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law. **Accommodations** Guardian is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. Guardian also provides reasonable accommodations to qualified job applicants (and employees) to accommodate the individual's known limitations related to pregnancy, childbirth, or related medical conditions, unless doing so would create an undue hardship. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact [e-mail]. Please note: this resource is for accommodation requests only. For all other inquires related to your application and careers at Guardian, refer to the Guardian Careers site. **Visa Sponsorship** Guardian Life is not currently or in the foreseeable future sponsoring employment-based visas (e.g., such as an H-1B). In order to be a successful applicant, you must be legally authorized to work in the United States, without the need for employer sponsorship/support now or at any time in the future. **Notice Regarding Guardian’s Use of Artificial Intelligence in Recruitment** As part of Guardian’s job application process, Guardian may use artificial intelligence tools (“AI Tools\") to automate the sorting and filtering of information provided by applicants as part of its preliminary screening. This preliminary screening may be used to help identify applicant materials and resumes relative to their indication that the applicant meets the requirements for the specific job for which they are applying, as specified in the listing posted on Guardian’s jobs website (Careers at Guardian at https://www.guardianlife.com/careers). At Guardian, we do not use AI Tools to substantially assist or replace human judgment or discretionary decision making in our hiring process. All hiring decisions will be made by Guardian colleagues. Please be aware that if you apply for a specific position with Guardian, you will have the choice of opting out of Guardian’s use of AI Tools during the job application process. If you would like to request an alternative process that does not utilize AI Tools or would like to request a reasonable accommodation, within ten business days of your position application, you must email your request to [e-mail], making sure to provide your name and job requisition identification number. Guardian will retain your applicant materials and resume and all information therefrom in accordance with Guardian’s document retention policy, a copy of which you may request via [e-mail].