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Associate Credentialing Representative
Highmark HealthAssociate Credentialing Representative processing provider applications and maintaining database in a health organization. Communicating with providers regarding credentialing status in remote locations.
Posted 7/22/2026full-timeRemote • Louisiana, Maryland, North Carolina, Pennsylvania, Washington • 🇺🇸 United StatesJuniorMid-Level💰 $20 - $27 per hourWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates proficiency in provider data management and credentialing processes, with a focus on maintaining accurate provider information and effective communication. Capable of training personnel in relevant systems and enhancing credentialing functions through process improvement.
Highest-signal resume keywords
Provider Data ManagementCredentialing ProcessesMicrosoft Office SuiteCustomer Service ExperienceURAC Standards Familiarity
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
CredentialingRe-CredentialingData ReviewDatabase MaintenanceClaims Processing
Soft Skills
CommunicationTrainingCollaboration
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
Credentialing VerificationProvider ApplicationsCustomer Service Inquiry System
About the role
Key responsibilities & impact- Process provider applications and re-applications including initial mailing, review, and loading.
- Maintain provider database and communicate with providers regarding credentialing status.
- Perform credentialing, re-credentialing and related activities and coordinate credentialing verifications.
- Review and process complex additions, updates and deletions of provider information.
- Train credentialing personnel in the use of various systems, software, databases and procedures.
- Participate in projects which streamline, automate or enhance credentialing functions.
Requirements
What you’ll need- Minimum High School Diploma or GED
- 0-1 years of experience
- Experience in Provider Data Management, Customer Services or Claims
- Microsoft office experience (i.e. Word, Excel, PowerPoint, etc.)
- A familiarity with credentialing processes and the URAC standards (preferred)
- Experience with the Customer Service inquiry system or claims processing concepts (preferred)
Benefits
Comp & perks- Health insurance
- 401(k) matching
- Paid time off
- Flexible work arrangements