Credentialing Specialist

Ardent•Roseburg, OR

6d•$22•Remote

About The Position

At Ardent, we believe that the "product" in the BPO industry is our people and their time. We partner with mission-driven healthcare organizations to bridge the health literacy gap in the U.S. healthcare system. Our mission is to cut through the red tape of healthcare by pairing patients with expert advocates, ensuring they have the tools to make better decisions and achieve better outcomes. We are a high-growth, intense, and heart-led team. Ardent isn’t a place to coast; it’s a place to redefine the patient experience through urgency, precision, and empathy. Role Overview Our client is a healthcare credentialing technology company that powers accurate, timely provider credentialing for health plans, digital health companies, and healthcare employers. Our CVO Operations team is the delivery engine behind that promise — responsible for credentialing providers end-to-end so that patients can access care safely and as quickly as possible. You will manage high-volume provider credentialing workflows for a portfolio of clients across multiple specialties and states. You will work within our clients proprietary credentialing software, follow NCQA-aligned processes, and serve as a quality-first operator who takes ownership of accuracy, turnaround time, and client outcomes. This role is a strong fit for detail-oriented credentialing professionals who thrive in structured, high-accountability environments and want to build deep expertise in credentialing. While this role is full-time, the position would likely begin in June and end 90-days later.

Requirements

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
Must have a high-speed, stable internet connection with a router capable of a wired (plug-in) connection and speeds of 100 Mbps download and 20 Mbps upload.
A dedicated, distraction-free home office space.
Must be based in Douglas (Roseburg) or Josephine (Grants Pass) Counties in Oregon.
High school diploma or equivalent.

Nice To Haves

Experience in a CVO, MSO, or delegated credentialing environment
CPCS (Certified Provider Credentialing Specialist) or CPMSM credential a bonus
Experience credentialing behavioral health, telehealth, or digital health providers
Prior experience in a BPO or high-volume shared services credentialing operation
Ability to work full-time including evenings and weekends

Responsibilities

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