Credentialing Specialist

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🔥 14 minutes ago

🌲 Oregon – Remote

🌲 Oregon – Remote

💵 $22 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

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Ardent

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1992

🏠 Real Estate

⚡ Energy

🚗 Transport

Real Estate • Energy • Transport

Ardent is a UK and Ireland-based land and property consultancy that delivers end-to-end land, consent, and project support for infrastructure, regeneration and renewable energy projects. It offers specialist services including land referencing, land assembly, compensation and valuation, consents management, geomatics, stakeholder engagement, and geospatial/atlas insights, advising clients through the full project lifecycle from concept to construction. Ardent focuses on sustainable, community-focused infrastructure across transport, utilities, regeneration and energy sectors and operates offices across the UK and Ireland.

📋 Description

• Manage end-to-end credentialing for a steady caseload of providers across one client. • Review and process credentialing applications submitted via CAQH ProView or client-specific onboarding forms; identify missing or incomplete information and initiate timely follow-up with providers or clients • Execute all primary source verifications (PSVs) using our clients software platform, including licensure, education, training, board certification, DEA, NPI, NPDB, and sanctions checks • Interpret PSV results and apply credentialing judgment to flag discrepancies, exclusions, or items requiring escalation. • Compile complete, audit-ready credentialing files per client standards and URAC guidelines • Meet or exceed weekly productivity targets (case volume) while maintaining individual quality metrics at or above team benchmarks • Maintain accurate, up-to-date provider records in our clients or the client’s platform throughout the credentialing lifecycle. • Coordinate with providers, office managers, and client contacts via email to collect outstanding documentation; outreach is via e-mail and largely automated; at most, a team member will need to document notes following our scripts to make clear to providers what information is missing from their credentialing application. • Represent our client with professionalism and a client-focused attitude. • Use Salesforce (CRM) and our client's platform as primary workflow management tools; log all case activity accurately • Contribute observations about workflow inefficiencies or recurring errors to Team Lead for process improvement discussion • Complete assigned training, onboarding milestones, and any compliance certifications within the required timeframe.

🎯 Requirements

• 1+ years of direct credentialing operations experience — physician and/or advanced practice provider (APP) credentialing strongly preferred • Demonstrated ability to manage concurrent credentialing files across multiple provider types • Experience with CAQH ProView: pulling profiles, identifying discrepancies and gaps • Familiarity with NCQA credentialing standards (CR elements) and/or URAC standards; understanding of PSV requirements and acceptable verification sources • Experience running or interpreting primary source verifications: state licensing boards, DEA, NPI Registry, NPDB, OIG/SAM exclusion checks • Proficiency with Google Suite (Gmail, Google Docs, Google Sheets) for daily communication and documentation • Salesforce or comparable CRM experience for case logging and task management • Comfort operating within SaaS-based credentialing platforms; ability to learn new software quickly • Basic proficiency with Adobe Acrobat for document review and file assembly • Exceptional attention to detail — errors in credentialing have downstream patient safety implications; accuracy is non-negotiable • Strong written communication skills for provider correspondence; professional and clear across all channels • Self-directed work habits suitable for a fully remote environment; reliable follow-through on assigned tasks without close supervision • Collaborative mindset — willing to flag issues early, ask questions, and contribute to process improvement.

🏖️ Benefits

• Remote Work-Home PLUS: Enjoy the flexibility of a 100% remote role with the support of an established, connected team. • Work Hours: Ability to work full-time including evenings and weekends.