Credentialing Specialist Job at ProPivotal, Quincy, MA

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  • ProPivotal
  • Quincy, MA

Job Description

Job Description

Job Description

Credentialing Specialist

We are seeking a highly detail-oriented and collaborative individual to join our team as a  Credentialing Specialist . In this role, you will ensure the accuracy and consistency of provider credentialing and maintenance data across our healthcare networks. Your work will directly support provider compliance, data integrity, and service quality.

Why This Role Is Awesome:
  • Pay: $19 per hour
  • Work Environment: Fully remote position
  • Growth Opportunities: High internal mobility and potential to move into other departments or roles beyond credentialing
  • Career Exposure: Gain valuable experience working in a major company and team-based environment
  • Learning & Development: Learn extensively about healthcare credentialing, opening doors to future opportunities in hospitals and provider networks
  • High Hiring Potential: Credentialing roles consistently lead to high placement rates within healthcare organizations
Please Read:  Due to the policy of this company, only candidates currently living in Massachusetts will be considered for this role

Key Responsibilities:
  • Validate and update provider credentialing data, attestations, and documentation
  • Review contracts and supporting documents for completeness and accuracy
  • Verify provider details via licensing and specialty boards and other authoritative sources
  • Process provider updates in accordance with internal policies and workflows
  • Respond to inquiries from internal teams and external partners with accurate, solution-oriented communication
  • Conduct email and phone outreach to providers to verify data integrity
Required Experience:
  • 1+ year in administrative or healthcare operations role
  • Experience in remote or fast-paced work environments
  • Exposure to credentialing or provider data management 
  • Must be proficient in Microsoft Office and comfortable using Microsoft Teams
Nice-to-Have Experience:
  • Prior work with healthcare providers, hospitals, or insurance organizations
  • Familiarity with credentialing or data accuracy systems
Preferred Skills:
  • Strong phone etiquette and ability to manage professional conversations
  • Flexibility and responsiveness in high-volume or shifting work environments
Company Description

Since 1996, ProPivotal has been committed to excellence in staffing services. ProPivotal is one of Massachusetts’ largest staffing firms. It is our pleasure to provide service to many of the area’s most desirable employers and fulfill their staffing needs throughout the world. While we have the deep resources which allow us to manage large staffing programs, we also have a structure which allows us to get to know each job seeker individually, and a culture which drives us to match candidates with jobs they love. We are big enough to serve you and small enough to know you.

ProPivotal is an equal opportunity employer and considers qualified applicants for employment regardless of race, gender, gender identity, gender expression, age, color, religion, disability, veteran's status, sexual orientation, or any other protected factor.

Company Description

Since 1996, ProPivotal has been committed to excellence in staffing services. ProPivotal is one of Massachusetts’ largest staffing firms. It is our pleasure to provide service to many of the area’s most desirable employers and fulfill their staffing needs throughout the world. While we have the deep resources which allow us to manage large staffing programs, we also have a structure which allows us to get to know each job seeker individually, and a culture which drives us to match candidates with jobs they love. We are big enough to serve you and small enough to know you.\r\n\r\nProPivotal is an equal opportunity employer and considers qualified applicants for employment regardless of race, gender, gender identity, gender expression, age, color, religion, disability, veteran's status, sexual orientation, or any other protected factor.

Job Tags

Hourly pay, Work at office, Shift work,

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