Credentialing Specialist

Ardent

Credentialing Specialist managing high-volume provider credentialing workflows for healthcare technology company, following NCQA-aligned processes and ensuring accuracy in documentation and client outcomes.

Posted 6/24/2026full-timeRemote • Oregon • 🇺🇸 United StatesJunior💰 $22 per hourWebsite

Tech Stack

Tools & technologies

Assembly

About the role

Key responsibilities & impact

Manage end-to-end credentialing for a steady caseload of providers across one client.
Review and process credentialing applications submitted via CAQH ProView or client-specific onboarding forms; identify missing or incomplete information and initiate timely follow-up with providers or clients
Execute all primary source verifications (PSVs) using our clients software platform, including licensure, education, training, board certification, DEA, NPI, NPDB, and sanctions checks
Interpret PSV results and apply credentialing judgment to flag discrepancies, exclusions, or items requiring escalation.
Compile complete, audit-ready credentialing files per client standards and URAC guidelines
Meet or exceed weekly productivity targets (case volume) while maintaining individual quality metrics at or above team benchmarks
Maintain accurate, up-to-date provider records in our clients or the client’s platform throughout the credentialing lifecycle.
Coordinate with providers, office managers, and client contacts via email to collect outstanding documentation; outreach is via e-mail and largely automated; at most, a team member will need to document notes following our scripts to make clear to providers what information is missing from their credentialing application.
Represent our client with professionalism and a client-focused attitude.
Use Salesforce (CRM) and our client's platform as primary workflow management tools; log all case activity accurately
Contribute observations about workflow inefficiencies or recurring errors to Team Lead for process improvement discussion
Complete assigned training, onboarding milestones, and any compliance certifications within the required timeframe.

Requirements

What you’ll need

1+ years of direct credentialing operations experience — physician and/or advanced practice provider (APP) credentialing strongly preferred
Demonstrated ability to manage concurrent credentialing files across multiple provider types
Experience with CAQH ProView: pulling profiles, identifying discrepancies and gaps
Familiarity with NCQA credentialing standards (CR elements) and/or URAC standards; understanding of PSV requirements and acceptable verification sources
Experience running or interpreting primary source verifications: state licensing boards, DEA, NPI Registry, NPDB, OIG/SAM exclusion checks
Proficiency with Google Suite (Gmail, Google Docs, Google Sheets) for daily communication and documentation
Salesforce or comparable CRM experience for case logging and task management
Comfort operating within SaaS-based credentialing platforms; ability to learn new software quickly
Basic proficiency with Adobe Acrobat for document review and file assembly
Exceptional attention to detail — errors in credentialing have downstream patient safety implications; accuracy is non-negotiable
Strong written communication skills for provider correspondence; professional and clear across all channels
Self-directed work habits suitable for a fully remote environment; reliable follow-through on assigned tasks without close supervision
Collaborative mindset — willing to flag issues early, ask questions, and contribute to process improvement.

Benefits

Comp & perks

Remote Work-Home PLUS: Enjoy the flexibility of a 100% remote role with the support of an established, connected team.
Work Hours: Ability to work full-time including evenings and weekends.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

credentialing operationsprimary source verificationsCAQH ProViewNCQA credentialing standardsURAC standardsstate licensing boardsDEANPI RegistryNPDBOIG/SAM exclusion checks

Soft Skills

attention to detailwritten communicationself-directed work habitscollaborative mindsetclient-focused attitude