Provider Data Maintenance & Credentialing Specialist - Primarily Remote in Jacksonville, FL

Provider Data Maintenance & Credentialing Specialist I - Primarily Remote in Jacksonville, FL

Job Category
:
Provider Network Management

Requisition Number
: PROVI
002238

• Full-Time
• Hybrid
• Hourly Range : $20.14 USD to $26.15 USD

Showing 1 location

Jacksonville, FL 32246, USA

When it comes to making a meaningful difference in the lives of our customers and employees, USAble Life is always ready. We are a diverse group of individuals working together to go the extra mile.

Through our DEI initiatives, employees feel empowered to bring their talents and voice to our culture.

Our passion for delivering the best products is matched only by our passion for our people. We are committed to making a meaningful difference in the lives of others which extends beyond our office walls. USAble Life has a long tradition of supporting our communities, and we’re proud of the fact that our employees share that commitment.

We have been recognized as a “Best Places to Work” in Arkansas, Florida, and Hawaii. You’ll be rewarded with opportunities for personal and professional development and opportunities for advancement. This, coupled with our engaging culture and a comprehensive benefits package, ensures we are committed to our employees.

Check out how we make a meaningful difference in the lives of others!

What We Offer You:

• A culture that values employees and celebrates, empowers, and inspires a diverse workforce
• Outstanding and affordable benefits package
• PTO provided at date of hire
• 11 paid holidays
• 401(k) with up to 6% match; fully vested from day 1
• Remote opportunities with company-provided equipment
• Team-oriented, collaborative group of peers
• Tuition Reimbursement
• Employee Assistance Program
• Inclusion Council and Employee Resource Groups
• Recharge Days and Volunteer Time Off

Pay Transparency: Our salary ranges are structured to provide opportunities for growth and advancement within a role. As a result, most new hires are placed between the minimum and midpoint of the range based on qualifications and experience, while the top of the range is generally reserved for employees who have demonstrated sustained expertise and performance in the position.
The anticipated pay for new hires entering as a Provider Data Maintenance & Credentialing Specialist I is between $41,900 to $48,200. Pay is based on non-discriminatory factors including but not limited to work experience, education, location, licensure requirements, proficiency and qualifications, and company tenure & equity. In addition to base compensation, this role is eligible for an annual incentive plan based on company performance and individual performance.

Provider Data Maintenance & Credentialing Specialist I Overview

* This position is primarily remote role with on‑site presence required for a single day every few weeks.*

Conducts provider credentialing application and contract package review prior to processing. Performs timely data entry of provider application information and contract arrangements into administrative system. Prepares adverse files for review by the Dental Credentialing Committee. Updates and maintains contract and demographic information on participating providers. Generates correspondence to providers confirming contract or demographic changes, credentialing status, and requests for missing or incomplete information.

Provides general assistance with projects as required.

• Enters credentialing and re-credentialing applications into the administration systems.
• Conducts follow-up as necessary with Credentialing Verification Organization to obtain completed Primary Source Verification credentialing report in a timely manner.
• Communicates with providers regarding missing information from credentialing files and requests additional…