Associate Credentialing Representative

Highmark Health

Base: $19.66 - $27.42 ph; bonus/equity: not specif...
Provider data management experience
Microsoft office proficiency
Strong written communication skills
This role processes provider applications and re-applications while maintaining the provider database and communicating status updates

Job Summary

  • This role processes provider applications and re-applications while maintaining the provider database and communicating status updates.
  • The incumbent is responsible for screening applications for completeness, performing credentialing verifications, and loading providers to appropriate networks.
  • Employees must adhere to HIPAA regulations and protect confidential customer information while representing the department as a subject matter expert.

Matching Summary

This role processes provider applications and re-applications while maintaining the provider database and communicating status updates.

Salary

Base: $19.66 - $27.42 per hour; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • Provider data management experience
  • Microsoft Office proficiency
  • Strong written communication skills

Nice-to-have

  • Familiarity with URAC standards
  • Experience with ULTRA systems
  • Knowledge of Dental Provider File systems

Key Requirements

  • Minimum High School Diploma or GED
  • 0-1 years of experience in provider data or claims
  • Proficiency in Microsoft Word, Excel, and PowerPoint

Work Rights

Not specified

Tailored Resume

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