Credentialing Support Associate III

Job not on LinkedIn

🔥 0 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $23 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Guardian Life

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1860

🏥 Healthcare

💼 Consulting

🍽️ Food & Beverage

💰 Non Equity Assistance on 2016-08

Healthcare • Consulting • Food & Beverage

Guardian Life is a comprehensive insurance provider offering a wide range of insurance products and services. Founded 160 years ago, the company has grown to serve over 12 million people daily. Guardian Life specializes in various insurance plans, including life, disability, dental, vision, accident, critical illness, and hospital indemnity insurance. The company also provides workforce solutions such as group benefits, absence management, paid leave, and benefits technology. Furthermore, Guardian Life offers investment services, annuities, and retirement plans, supported by financial professionals. The firm is committed to social responsibility, equity, and inclusion, partnering with organizations to foster well-being and financial health. With a strong network and deep industry experience, Guardian Life continues to be a reliable partner in protecting individuals and families while preparing them for the future.

📋 Description

• Maintain accurate provider information by entering, updating, and auditing data within credentialing systems • Coordinate recredentialing activities, including distributing recredentialing communications and monitoring provider responses • Communicate with providers to obtain missing documentation, resolve discrepancies, and ensure complete credentialing files • Conduct primary source verification activities for initial credentialing and recredentialing applications in accordance with regulatory requirements and company standards • Track and follow up on outstanding credentialing requirements to support timely processing and compliance • Partner with internal stakeholders to ensure provider records are accurate, complete, and compliant with organizational policies • Support continuous improvement efforts that enhance credentialing processes and data quality • Report to the Credentialing leadership team

🎯 Requirements

• High school diploma or equivalent • Experience supporting provider credentialing, healthcare operations, provider enrollment, or administrative processes • Experience maintaining and updating data within databases or business systems • Strong attention to detail and commitment to data accuracy • Excellent verbal and written communication skills • Ability to follow established processes and regulatory requirements • Strong organizational and time management skills • Ability to manage multiple priorities in a deadline-driven environment • Proficiency with Microsoft Office applications, including Excel and Outlook • Experience with provider credentialing and recredentialing processes preferred • Familiarity with NCQA, CMS, state, or other healthcare regulatory requirements preferred • Experience conducting primary source verification activities preferred • Experience working with credentialing software or provider management systems preferred • Knowledge of healthcare provider networks and credentialing standards preferred • Must be legally authorized to work in the United States without employer sponsorship/support now or at any time in the future

🏖️ Benefits

• Support and flexibility to achieve professional and personal goals • Skill-building opportunities • Leadership development opportunities • Philanthropic opportunities • Contemporary, supportive, flexible, and inclusive benefits and resources • Benefits for full-time eligible employees