Remote Credentialing Specialist III - Data & Compliance
The Guardian Life Insurance Company of America
Guardian is seeking a Credentialing Support Associate III to manage provider records, coordinate recredentialing, and ensure regulatory compliance. You will resolve discrepancies, verify data, and collaborate with internal teams to maintain high-quality credentialing files.
The role emphasizes meticulous data entry, timely communication with providers, and adherence to company standards, with remote work options and a Newport Beach regional office.
#J-18808-Ljbffr- Guardian seeks a Credentialing Support Associate III to maintain provider records and support the credentialing... ..., validate information, and ensure compliance with regulatory and organizational... ...internal stakeholders. You will manage data integrity across credentialing...Remote jobData
$50k - $70k
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...Credentialing Specialist Develop and cultivate productive relationships with... ...order to meet regulatorily compliance requirements Use analytical... ...maintenance of provider data, ensuring the integrity of... ...environment For roles that are remote (i.e., Work From Home (WFM)...Remote workDataWork at officeWork from home- ...Credentialing Specialist (Dental / Healthcare) Location: Remote Type: Full-Time Schedule: Must have overlap with U.S. business... ...applications, maintaining provider data, handling CAQH updates, and... ...Excel Assist with audits and compliance documentation as needed...Remote workDataFull time
$29 per hour
...Credentialing Specialist The Credentialing Specialist is responsible for the entire initial credentialing... ...Medical Staff Services to ensure compliance with the Medical Staff Bylaws, Joint... ...especially Microsoft products (Word, Excel); data entry accuracy critical. Excellent/...Remote workData$22.5 per hour
...local time Job Summary: The Credentialing Specialist is an integral member of the Revenue Cycle... ...promptly. Maintain up-to-date data for each provider in the credentialing... ...Benefits & Rewards: ~ Fully remote work ~5 weeks PTO (includes your birthday...Remote workDataLocal areaFlexible hours- ...Provider Credentialing Specialist Location - 100% Remote Duration: 05+ months Shift: M-F 09 AM to 06 PM... ...credentialing completion. Ensure compliance with CMS, NCQA, and organizational... ...Primary Source Verification Data Accuracy Time Management Customer...Remote workDataShift work
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$40k - $55k
...☆ About the Role Location: Remote - US or Canada based only Title: Credentialing Specialist Salary Range: $40,000 - $55,... ...other payers. Maintain provider data: Ensure CAQH profiles are... ...operational practice. Monitor compliance: Track credentialing status, re...Remote workDataFull timeWork at officeFlexible hours- ...LLC (Ansible) is seeking a full-time Compliance & Credentialing Specialist. This work-from-home position is... ...check processes with candidates via remote correspondence. We strongly desire previous... .... Enters, updates, and maintains data from provider files into...Remote workDataFull timeWork from homeShift work
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- ...QualDerm Partners Credentialing Specialist With 150+ locations in 17 states, QualDerm Partners is... ...standardized processes and capturing data for each provider in QualDerm's credentialing... ...for assigned region. Assure compliance with all health plan requirements as related...Remote workData
- ...profitable, fast-growing company with a fully remote U.S. team and a large in-office... ...-oriented, and execution-focused Credentialing Specialist who will own provider enrollment, credentialing... ...or enrollment issues. Data Management and Documentation Maintain...Remote workDataWork at office
- ...IT Credentialing Specialist Location: Remote Company: HealthMark Group is a leading provider of health IT... ...access, operational continuity, and compliance across HealthMark's client base. This... ...in a healthcare or sensitive data environment. Strong understanding...Remote workDataImmediate start
- ...What you'll do... The Credentialing Specialist's primary role is to collect the appropriate provider... ...in office and Wednesday/Friday remote. What you'll bring to the team...... ...effective dates as well other required data Responsible for Medicaid enrollment...Remote workDataTemporary workWork at office
$30 - $37 per hour
...to being part of the solution. As a Credentialing Specialist at BetterHelp, you’ll join a... ...seeking help when they need it. Can I work remotely? Yes. This role can be performed remotely... .... Familiarity with web application, data, and SQL security best practices....Remote workDataFull timeWork experience placementImmediate start$26.92 - $50.86 per hour
...Credentialing Onboarding/Offboarding Specialist Work Location: Los Angeles, CA, USA Onsite or Remote Flexible Hybrid Work Schedule Monday - Friday,... ...requirements, and training module compliance Analyze hospital... ...experience. Advanced data analytics skill set,...Remote workDataHourly payWork at officeMonday to FridayFlexible hours- ...radiology. Job Summary The Credentialing Specialist primarily serves as the... ...Organization’s Bylaws and compliance requirements Ensure... ...includes, but is not limited to data entry and the saving of... ...and working effectively in a remote environment with minimal supervision...Remote workData
$29 per hour
...learn more. Short Description The Credentialing Specialist is responsible for the entire initial... ...Medical Staff Services to ensure compliance with the Medical Staff Bylaws, Joint Commission... ...Microsoft products (Word, Excel); data entry accuracy critical. Excellent/...Remote workData$18 - $20 per hour
...Credentialing Specialist Location: Lindon, Utah (In-office only — no remote work available) Pay Range: $18–$20/hour (depending on experience... ...that values efficiency, compliance, and provider support. You'll... ...detail with a commitment to data accuracy. Strong communication...Remote workDataFull timePart timeWork at officeMonday to Friday- ...medical staff and allied health staff with credentialing and privileging activities for initial and reappointment, assuring compliance to regulatory and accreditation standards,... ...credentialing functions. Completes accurate and timely data entry of all credentialing activity into...Remote workDataWork at officeLocal area
- ...we're looking for a Payer Credentialing Specialist to join our Operations team... ...credentialing files and records in compliance with internal standards and... .... Pay & Perks: Fully remote opportunity Medical, dental... ...information about how your data is processed, please...Remote workDataLocal areaWork from home
$65k - $80k
...Title: Senior Credentialing Specialist Job Type: Full-time Location: Hybrid... ...Brighton, MA office; 1 day remote FLSA Status: Exempt... ...file preparation. Ensure compliance with NCQA/URAC credentialing... ...provided to the Provider Data Management function. Ongoing...Remote workDataFull timeWork at officeLocal area
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