Credentialing Advocate

Job Description:

Elevate Your Career with Sagility

Sagility is a global leader in healthcare business process management, dedicated to improving member and provider experience through innovation, operational excellence, and compassionate service.

Become Part of a Team That S.O.A.R.s!

At Sagility, our culture is built on four core values:

S Spark Curiosity
We continuously learn, ask questions, and seek smarter ways to improve healthcare operations.

O One Team, One Direction
We collaborate across teams and geographies to deliver results that matter.

A Action for Results
We move with urgency, accountability, and purpose.

R Right by the Right Purpose
We act with integrity and always do what’s right for members, providers, and each other.

If you are detail-oriented, organized, and ready to grow in healthcare operations, this is your opportunity to build a meaningful career while living our S.O.A.R. values every day.

What You Will Do

As a Credentialing Advocate, you will support the credentialing and recredentialing of healthcare providers, ensuring documentation accuracy and compliance with regulatory standards.

Key Responsibilities

· Conduct primary source verification of provider credentials (licenses, education, board certifications, work history)

· Maintain accurate and up-to-date provider records within credentialing systems

· Track expiration dates for licenses, certifications, and malpractice insurance

· Prepare credentialing and recredentialing files for review and approval

· Communicate with providers to obtain required documentation and resolve discrepancies

· Support audits, accreditation reviews, and compliance reporting

· Ensure adherence to company policies and regulatory standards

· Respond to internal and external credentialing inquiries in a timely and professional manner

· Perform data entry and administrative support related to provider enrollment

What You Bring

Required Qualifications

· High school diploma or equivalent

· Strong attention to detail and organizational skills

· Proficiency in Microsoft Office (Excel, Word, Outlook)

· Strong written and verbal communication skills

· Ability to manage multiple priorities and meet deadlines

· Ability to maintain confidentiality and handle sensitive information

Preferred Qualifications

· Previous administrative, healthcare operations, or data entry experience in the healthcare environment

· Familiarity with credentialing software or provider databases (MP3, Echo, NOW, CAQH, etc.)

· Basic understanding of healthcare compliance or regulatory requirements

Core Competencies

· Attention to Detail

· Analytical Thinking

· Time Management

· Customer Service Orientation

· Integrity & Confidentiality

· Documentation discipline

· Ability to make compliant decisions under pressure

· Reliability

· Ownership/Accountability

Work Requirements

· Must be 18 years of age or older

· Minimum of 6 months at a single employer (preferably in healthcare or customer service)

· Reliable attendance, including no absences during the first 90 days

· Flexible availability, including weekends if required

· Hardwired internet connection (minimum 25 Mbps download / 10 Mbps upload)

· Secure, private home workspace