Remote Provider Data & Credentialing Specialist

American Health Partners; Atlanta (GA); Remote; USD 42,000 - 68,000; Full time

Job summary

American Health Plans, a division of American Health Partners Inc., seeks a Provider Data Specialist to ensure provider demographics and payment methods are accurate across systems. You will support reporting to agencies and management and assist with credentialing workflows.

The role requires data-entry precision, Microsoft Office proficiency, and the ability to work in a flexible home-based environment. Travel may be required.

Qualifications

• Ability to enter data accurately in designated information systems.
• Credentialing experience preferred.
• Proven data-entry and clerical skills in a deadline-driven environment.

Responsibilities

• Maintain provider demographic information through contracting submissions and updates.
• Extract and report data for analyses and support credentialing processes.
• Support IT-related provider data reporting and tracking initiatives.
• Assist with Credentialing Committee communications and minutes.

Skills

Typing 40+ wpm

Data entry accuracy

Prioritization

Written & spoken communications

Detail oriented

Education

High School Diploma / GED

College coursework / degree preferred

Tools

Microsoft Office (Outlook, Excel, Word)

Job description

American Health Plans, a division of American Health Partners Inc., seeks a Provider Data Specialist to ensure provider demographics and payment methods are accurate across systems. You will support reporting to agencies and management and assist with credentialing workflows.

The role requires data-entry precision, Microsoft Office proficiency, and the ability to work in a flexible home-based environment. Travel may be required.