Associate Credentialing Representative

Highmark Health

Working At Home, United States
Base: $19.66 - $27.42; bonus/equity: not specified...
On-site
Process provider applications and re-applications
Maintain provider database
Communicate with providers regarding status
This job processes provider applications and re-applications, maintaining the provider database and communicating with providers regarding their credentialing status

Job Summary

  • This job processes provider applications and re-applications, maintaining the provider database and communicating with providers regarding their credentialing status.
  • Essential responsibilities include credentialing and re-credentialing providers, screening applications for accuracy, and managing credentialing inventory to meet established timeframes.
  • The role supports projects, audits, business partners, internal departments, and external clients, representing the department as a Subject Matter Expert.

Matching Summary

This job processes provider applications and re-applications, maintaining the provider database and communicating with providers regarding their credentialing status.

Salary

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

Skills & Requirements

Must-have

  • Process provider applications and re-applications
  • Maintain provider database
  • Communicate with providers regarding status
  • Perform credentialing and re-credentialing activities
  • Coordinate credentialing verifications
  • Support network and system implementations

Nice-to-have

  • Subject Matter Expert representation
  • Customer oversight for unique requirements
  • Participate in process enhancement projects

Key Requirements

  • High School Diploma or GED
  • 0-1 years of experience
  • Experience in Provider Data Management, Customer Services or Claims
  • Microsoft office experience

Work Rights

Not specified

Tailored Resume

Cover Letter