Credentialing Specialist

Overview

BroadPath is 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. Join our team and enjoy the flexibility of working from the comfort of your own home. At BroadPath, we believe in assuming the best intentions of others and empowering our employees to use their voices. Grow with a company that is passionate about helping you reach your full potential. Become a part of transforming customer and client experiences through our innovative work-from-home technology.

Compensation Highlights

Base pay : $20.00 per hour

Pay frequency : Weekly pay!

Schedule Highlights

No weekend work required

Training Schedule : Monday-Friday, 8 : 00am-5 : 00pm Pacific Time

Production Schedule : Monday-Friday, 8 : 00am-5 : 00pm Pacific Time

Responsibilities

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

Track and process credentialing and re-credentialing applications

Enter and update provider information in the credentialing database

Maintain and update provider demographics

Monitor and manage data from delegated entities

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

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

Ensure confidentiality of sensitive data and documents

Perform other duties as assigned

Qualifications

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

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

Strong organizational and time management skills

Ability to meet deadlines and handle high-volume work

Able to work independently and in a team setting

Strong attention to detail and problem-solving skills

Familiarity with NCQA, CMS, and state credentialing standards

Excellent written, verbal, and interpersonal communication skills

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 HR@Broad-path.com . 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.

Compensation : BroadPath has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.