Remote Provider Data & Credentialing Specialist I

USAble Life

Jacksonville (FL)

Hybrid

USD 28,000 - 36,000

Full time

9 days ago
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Benefits offered by this job

Benefits package
Remote work equipment
PTO on hire
11 paid holidays
401(k) with match
Tuition reimbursement
Employee assistance program
Recharge days
Volunteer time off

Job summary

USAble Life is seeking a Provider Data Maintenance & Credentialing Specialist I for a primarily remote role with on-site presence in Jacksonville, FL. The position supports credentialing applications, data entry, and contract management within our provider network management team.

The role requires a high school diploma (or equivalent) with 2–4 years of related experience; an Associate's degree is preferred.

Qualifications

  • High school diploma or equivalent.
  • 2–4 years of related experience.
  • Equivalent military experience.

Responsibilities

  • Enter credentialing and re-credentialing applications into the administration system.
  • Follow up with Credentialing Verification Organization to obtain verification reports.
  • Communicate with providers about missing information from credentialing files.
  • Review credentialing reports for accuracy.
  • Process contract arrangements into the administration system.
  • Update and maintain contract and demographic changes for reporting and directory accuracy.
  • Ensure timely follow-up to secure missing information.
  • Generate letters to providers after contract or demographic changes.
  • Meet or exceed productivity and quality metrics; prepare documents for contract execution.
  • Perform outreach for missing, expired, or incomplete documentation.

Skills

Communication skills
MS Office basics
Reading comprehension
Contract language
Time management
Team coordination
Industry experience

Education

High school diploma
Associate's degree (preferred)

Job description

USAble Life is seeking a Provider Data Maintenance & Credentialing Specialist I for a primarily remote role with on-site presence in Jacksonville, FL. The position supports credentialing applications, data entry, and contract management within our provider network management team.

The role requires a high school diploma (or equivalent) with 2–4 years of related experience; an Associate's degree is preferred.

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