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Overview

We're seeking a Credentialing Specialist to support our health plan operations by ensuring timely, accurate credentialing of providers. This role is key to maintaining compliance with internal standards and external regulations while supporting a high-quality provider experience.

Responsibilities

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  Verify provider credentials through approved sources in a timely and accurate manner

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  Track and process credentialing and re-credentialing applications

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  Enter and update provider information in the credentialing database

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  Maintain and update provider demographics

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  Monitor and manage data from delegated entities

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  Communicate with providers or their office staff regarding credentialing status and required documentation

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  Identify and report non-compliance or credentialing issues to the supervisor

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  Ensure confidentiality of sensitive data and documents

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  Perform other duties as assigned

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Qualifications

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  1+ years of experience of provider credentialing for a health plan

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  Ability to type a minimum of 50 WPM and 135 KSPM on ten keys

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  Strong organizational and time management skills

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  Ability to meet deadlines and handle high-volume work

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  Able to work independently and in a team setting

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  Strong attention to detail and problem-solving skills

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  Familiarity with NCQA, CMS, and state credentialing standards

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  Excellent written, verbal, and interpersonal communication skills

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Diversity Statement

At BroadPath, diversity is our strength. We embrace individuals from all backgrounds, experiences, and perspectives. We foster an inclusive environment where everyone feels valued and empowered. Join us and be part of a team that celebrates diversity and drives innovation!

Equal Employment Opportunity/Disability/Veterans

If you need accommodation due to a disability, please email us at This information will be held in confidence and used only to determine an appropriate accommodation for the application process.

BroadPath is an Equal Opportunity Employer

We do not discriminate against our applicants because of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law.