Remote Credentialing Specialist – Medicare Advantage

American Health Partners; Franklin (TN); Remote; USD 40,000 - 65,000; Full time

Benefits offered by this job

Affordable Medical/Dental/Vision

Generous paid time-off

TeleDoc 24/7/365

Disability plans

Employee Assistance Plan

401K with company match

Employee Referral Bonus

Job summary

American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc., seeks a Credentialing Specialist working primarily from home. You will ensure contracted providers meet qualifications, support reporting to agencies, and collaborate across departments to maintain data integrity.

Responsibilities include loading provider demographics, data validation, and assisting with credentialing committee communications.

Qualifications

• Must be fluent in all provider types, affiliations and relationships.
• Proficient computer skills and ability to enter data accurately.
• Ability to prioritize workload and adapt to changing environment.

Responsibilities

• Maintain and load provider demographic information to the CVO.
• Review and correct data errors.
• Extract and report data for analyses.
• Assist with Credentialing Committee notification process.

Skills

Provider data management

Data entry

Communication

Independent worker

Education

High school diploma

Post-secondary education preferred

Tools

CVO platforms

Job description

American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc., seeks a Credentialing Specialist working primarily from home. You will ensure contracted providers meet qualifications, support reporting to agencies, and collaborate across departments to maintain data integrity.

Responsibilities include loading provider demographics, data validation, and assisting with credentialing committee communications.