Remote Credentialing Specialist III – Data-Driven Compliance

Guardian; California (MO); Remote; USD 44,000 - 66,000; Full time

Job summary

Guardian is seeking a Credentialing Support Associate III to ensure accurate provider records and compliant credentialing workflows. This remote role with a Newport Beach regional office collaborates with providers and internal teams to verify information, resolve discrepancies, and support timely recredentialing and data quality.

You will maintain databases, perform primary source verification, and contribute to process improvements while upholding regulatory standards and organizational

Qualifications

• Experience supporting provider credentialing or credentialing operations.
• Experience maintaining data in databases or business systems.
• Ability to follow regulatory requirements and established processes.
• Excellent verbal and written communication skills.
• Strong organizational and time-management abilities.
• Proficiency with Microsoft Office applications, especially Excel and Outlook.
• Ability to manage multiple priorities in a deadline-driven environment.

Responsibilities

• Maintain accurate provider information by updating and auditing data in credentialing systems.
• Coordinate recredentialing activities and monitor provider responses.
• Request missing documents from providers and resolve discrepancies.
• Perform primary source verification for initial credentialing and recredentialing.
• Track outstanding credentialing requirements to support timely processing.
• Collaborate with internal stakeholders to ensure records comply with policies.
• Contribute to process improvement and data quality initiatives.

Skills

Attention to detail

Data accuracy

Regulatory compliance

Verbal and written communication

Multitasking

Microsoft Office

Education

High school diploma or equivalent

Associate's degree

Bachelor's degree

Tools

Microsoft Excel

Microsoft Outlook

Credentialing software

Provider management systems

Job description

Guardian is seeking a Credentialing Support Associate III to ensure accurate provider records and compliant credentialing workflows. This remote role with a Newport Beach regional office collaborates with providers and internal teams to verify information, resolve discrepancies, and support timely recredentialing and data quality.

You will maintain databases, perform primary source verification, and contribute to process improvements while upholding regulatory standards and organizational