Work At Home-Credentialing Advocate

Sagility

Richmond (VA)

Remote

USD 22,000 - 28,000

Full time

4 days ago
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Job summary

Sagility is hiring a Work At Home-Credentialing Advocate to support credentialing operations nationwide from a home-based setup. You will verify provider credentials, maintain records, track expirations, and prepare files for review while collaborating with teams to ensure accuracy and regulatory compliance.

The role emphasizes attention to detail, confidentiality, and the ability to manage multiple priorities in a fast-paced healthcare environment.

Qualifications

  • High school diploma or equivalent required.
  • Strong attention to detail and organizational skills.
  • Proficiency in Microsoft Office (Excel, Word, Outlook).
  • Strong written and verbal communication skills.
  • Ability to manage multiple priorities and meet deadlines.
  • Ability to maintain confidentiality and handle sensitive information.

Responsibilities

  • Conduct primary source verification of provider credentials (licenses, education, board certifications, work history)
  • Maintain accurate and up-to-date provider records within credentialing systems
  • Track expiration dates for licenses, certifications, and malpractice insurance
  • Prepare credentialing and recredentialing files for review and approval
  • Communicate with providers to obtain required documentation and resolve discrepancies
  • Support audits, accreditation reviews, and compliance reporting
  • Ensure adherence to company policies and regulatory standards
  • Respond to internal and external credentialing inquiries in a timely and professional manner
  • Perform data entry and administrative support related to provider enrollment

Skills

Attention to Detail
Time Management
Customer Service Orientation
Integrity & Confidentiality
Documentation discipline
Ability to make compliant decisions
Reliability
Ownership/Accountability
Strong written and verbalcommunication

Education

High school diploma or equivalent

Tools

MP3
Echo
NOW
CAQH

Job description

Work At Home-Credentialing Advocate

About Sagility

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.

Job title:Work At Home-Credentialing AdvocateJob Description:Elevate Your Career with SagilitySagility is a global leader in healthcare business process management, dedicated to improving member and provider experience through innovation, operational excellence, and compassionate service.

Become Part of a Team That S.O.A.R.s!At Sagility, our culture is built on four core values:S Spark CuriosityWe continuously learn, ask questions, and seek smarter ways to improve healthcare operations.O One Team, One DirectionWe collaborate across teams and geographies to deliver results that matter.A Action for ResultsWe move with urgency, accountability, and purpose.R Right by the Right PurposeWe act with integrity and always do what’s right for members, providers, and each other.

If you are detail-oriented, organized, and ready to grow in healthcare operations, this is your opportunity to build a meaningful career while living our S.O.A.R. values every day.

Key Responsibilities
  • Conduct primary source verification of provider credentials (licenses, education, board certifications, work history)
  • Maintain accurate and up-to-date provider records within credentialing systems
  • Track expiration dates for licenses, certifications, and malpractice insurance
  • Prepare credentialing and recredentialing files for review and approval
  • Communicate with providers to obtain required documentation and resolve discrepancies
  • Support audits, accreditation reviews, and compliance reporting
  • Ensure adherence to company policies and regulatory standards
  • Respond to internal and external credentialing inquiries in a timely and professional manner
  • Perform data entry and administrative support related to provider enrollment
What You Bring
Required Qualifications
  • High school diploma or equivalent
  • Strong attention to detail and organizational skills
  • Proficiency in Microsoft Office (Excel, Word, Outlook)
  • Strong written and verbal communication skills
  • Ability to manage multiple priorities and meet deadlines
  • Ability to maintain confidentiality and handle sensitive information
Preferred Qualifications
  • Previous administrative, healthcare operations, or data entry experience in the healthcare environment
  • Familiarity with credentialing software or provider databases (MP3, Echo, NOW, CAQH, etc.)
  • Basic understanding of healthcare compliance or regulatory requirements
Core Competencies
  • Attention to Detail
  • Analytical Thinking
  • Time Management
  • Customer Service Orientation
  • Integrity & Confidentiality
  • Documentation discipline
  • Ability to make compliant decisions under pressure
  • Reliability
  • Ownership/Accountability
Compensation & Benefits
  • $16.00/hr.-$20.00/hr plus performance-based incentives
  • Paid virtual training
  • Comprehensive medical, dental, and vision coverage (after 90 days)
  • Daily Pay option
  • Paid Time Off (PTO)
  • 401(k) with employer contribution
  • Life Insurance, Short-Term & Long-Term Disability
  • Flexible Spending Account (FSA)
  • Employee Assistance Program (EAP)
  • Tuition Reimbursement
  • Employee wellness and engagement programs
  • Career advancement opportunities

90% of our leaders began in entry-level roles

Work Requirements
  • Must be 18 years of age or older
  • Minimum of 6 months at a single employer (preferably in healthcare or customer service)
  • Reliable attendance, including no absences during the first 90 days
  • Flexible availability, including weekends if required
  • Hardwired internet connection (minimum 25 Mbps download / 10 Mbps upload)
  • Secure, private home workspace

At Sagility, we don’t just process credentials; we support healthcare access across the country.

Sagility is an Equal Opportunity Employer /Vet

Location:Work@Home USAUnited States of America

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