Credentialing Associate

Responsibilities

• Assist with training and quality assurance of peer staff
• Resolve administrative issues and problems to promote success
• Maintain accurate data for monthly URAC reports and daily inventory reports
• Lead staff in the absence of the manager
• Receive applications, verify credentials, and maintain provider files within the database
• Contact provider offices and U.S. licensing boards to confirm data accuracy

Requirements

• Full working knowledge of provider credentialing and URAC standards
• High School Diploma or equivalent (Bachelor’s Degree preferred)
• 5+ years of experience in Healthcare Operations
• 3+ years of experience in Credentialing/Re-credentialing Providers
• 2+ years of experience in a Healthcare setting handling provider issues
• 1+ years of experience calling provider offices
• Proficient in MS Office (Word and Excel)
• Working knowledge of desktop PCs and provider software
• Understanding of Health insurance programs and HIPAA regulations
• Experience managing provider databases and understanding SLAs

About the Company

Sutherland is a group of driven and hard-working individuals seeking to build fulfilling careers through excellence and skill.