[Hiring] Credentialing Support Associate III @Guardian Life Insurance

Role Description

Are you detail-oriented and passionate about ensuring accuracy and compliance in healthcare provider data? Do you enjoy working in a fast-paced environment where organization, communication, and problem-solving are critical to success?

Guardian is seeking a Credentialing Support Associate III to support the provider credentialing and recredentialing process by maintaining accurate provider records, coordinating provider outreach, and ensuring compliance with regulatory and organizational requirements. In this role, you will work closely with providers and internal stakeholders to validate information, resolve discrepancies, and support high-quality provider network operations.

You Are:

• A highly organized professional with exceptional attention to detail and a commitment to accuracy.
• Thriving in structured processes, managing multiple priorities, and effectively communicating with providers to obtain critical information and resolve issues.
• Understanding the importance of compliance and taking pride in maintaining accurate records while delivering excellent customer service.

Qualifications

• High school diploma or equivalent; Associate's or Bachelor's degree preferred.
• Experience supporting provider credentialing, healthcare operations, provider enrollment, or administrative processes.
• Experience maintaining and updating data within databases or business systems.
• Strong attention to detail and commitment to data accuracy.
• Excellent verbal and written communication skills.
• Ability to follow established processes and regulatory requirements.
• Strong organizational and time management skills.
• Ability to manage multiple priorities in a deadline-driven environment.
• Proficiency with Microsoft Office applications, including Excel and Outlook.

Requirements

• Maintain accurate provider information by entering, updating, and auditing data within credentialing systems.
• Coordinate recredentialing activities, including distributing recredentialing communications and monitoring provider responses.
• Communicate with providers to obtain missing documentation, resolve discrepancies, and ensure complete credentialing files.
• Conduct primary source verification activities for initial credentialing and recredentialing applications in accordance with regulatory requirements and company standards.
• Track and follow up on outstanding credentialing requirements to support timely processing and compliance.
• Partner with internal stakeholders to ensure provider records are accurate, complete, and compliant with organizational policies.
• Support continuous improvement efforts that enhance credentialing processes and data quality.

Benefits

• Support and flexibility to achieve your professional and personal goals.
• Opportunities for skill-building, leadership development, and philanthropic activities.
• Contemporary, supportive, flexible, and inclusive benefits and resources.