Credentialing Clerk

Position Summary

The Credentialing Clerk is responsible for receiving and registering in data system, credentialing documentation submitted by health care providers.


Duties and Responsibilities

  • Quality and integrity in data processing.
  • Credentialing file routing, to the corresponding areas.
  • Primary source verifications.

Education, experience, and knowledge:

  • Academic degree in Office Systems, Administrative Assistant, Medical Billing, or others related, from an accredited institution.
  • At least, one year in data entry or related position.
  • MS Office applications and internet use.
  • Experience in the healthcare industry, preferably.


Skills and abilities: 

  • Computer keyboard speed.
  • Problem solving, analytical and verbal communication.
  • Detailed oriented
  • Reading and interpretation of documentation in english and spanish languages.


Physical Demands

While performing the duties of this job, the employee is required to sit most of the time, use hands, fingers and have vision abilities, including focus.


Position Type/ Expected Hours of Work

This is a full-time position.  Monday through Friday, general time span: 8:00 a.m. to 6:00 p.m.  Occasionally, out of work time span may be required, as job duties demand.


Work Environment

This job operates in a clerical office setting and/or remote setting.  This role routinely uses standard office equipment such as computers, phones, mouse, keyboard, etc.

The work environment characteristics described here are representative of those encountered while performing the essential functions of this job.  Support tasks, tied to knowledge, can be included.