Let’s get started
By clicking ‘Next’, I agree to the Terms of Service
and Privacy Policy
Jobs / Job page
Credentialing Specialists - Work from home image - Rise Careers
Job details

Credentialing Specialists - Work from home

Company Description

Do you like providing support and guidance to ensure customers have an exceptional experience? Are you familiar with medical terminology? Do you have experience in a medical credentialing environment?

Join us.

We are Sutherland. We provide our clients’ customers with seamless, personalized and efficient experiences across a variety of industries including banking and financial services; insurance; communications, media and entertainment; healthcare; technology; retail and consumer packaged goods; and travel, transportation, hospitality and logistics. Together, our nearly 40,000 employees deliver measurable results and create exceptionally engineered brand experiences for some of the world’s best-known brands.

Job Description

We now seek action-oriented, problem-solving and self-motivated individuals to join us and showcase their customer service and related data entry skills as part of our healthcare team. You may be involved in claims adjudication and/or provider credentialing and, depending upon program and position, will support customers by phone, email and chat.

We offer:

  • Salary of $13.50/hr plus us to $1500/month PBI
  • Monthly rewards & recognition programs
  • Medical, dental and vision benefits
  • Paid training & PTO
  • Cross program and advancement opportunities – 80% of our frontline leaders have been promoted from within
  • Employee Discounts
  • EAP & Health and Wellness programs including a personal trainer dedicated to Sutherland

Qualifications

  • Claims and/or credentialing experience
  • Knowledge of medical terminology
  • Some experience in a medical office
  • Accurate typing of 40 WPM

We will provide equipment, however to work from home, you must have:

  • Excellent Internet connectivity:
    • Internet access speeds of 2 Mbps upload and 10 Mbps download – the faster the better!
    • In-house network, and a hard-wired Internet connection capable of continuously supporting outstanding call quality and high-speed response rates. (wireless and/or satellite Internet Service Providers are not compatible with our systems)
  • A quiet and distraction-free, secure place to work.

    #INDSP

IMPORTANT NOTE: This job is open only to residents of the United States, and you must be authorized to work in the US in order to be considered for employment.

Additional Information

About us:

As a digital transformation company -- and Great Place to Work certified -- Sutherland has been helping customers globally achieve greater agility and transform automated customer experiences for over 35 years. We work with some of the world’s most known brands in dozens of industries, including Banking & Financial Services; Insurance; Communications, Media & Entertainment; Healthcare; Retail & Consumer Packaged Goods; Technology; Travel, Transportation, Hospitality & Logistics; and Mortgage Services, helping them to better support and serve their customers.

EEOC and Veteran Documentation
During employment, employees are treated without regard to race, color, religion, sex, national origin, age, marital or veteran status, medical condition or handicap, or any other legally protected status.
At times, government agencies require periodic reports from employers on the sex, ethnicity, handicap, veteran and other protected status of employees. The purpose of this Administrative EEO Record is for statistical analysis only and is used to comply with government record keeping, reporting, and other legal requirements. Periodic reports are made to the government on the following information. The completion of the Administrative EEO record is optional. If you choose to volunteer the requested information, please note that all 
Administrative EEO Records are kept in a Confidential File and are not part of your Application for Employment or Personnel file.
Please note: YOUR COOPERATION IS VOLUNTARY. INCLUSION OR EXCLUSION OF ANY DATA WILL NOT AFFECT ANY EMPLOYMENT DECISION.

Sutherland Glassdoor Company Review
3.6 Glassdoor star iconGlassdoor star iconGlassdoor star icon Glassdoor star icon Glassdoor star icon
Sutherland DE&I Review
3.88 Glassdoor star iconGlassdoor star iconGlassdoor star icon Glassdoor star icon Glassdoor star icon
CEO of Sutherland
Sutherland CEO photo
Dilip R. Vellodi
Approve of CEO

Average salary estimate

$32000 / YEARLY (est.)
min
max
$28000K
$36000K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

What You Should Know About Credentialing Specialists - Work from home, Sutherland

Are you ready to take the next step in your career as a Credentialing Specialist? Look no further than Sutherland! Located in Louisville, KY, we are a proud company that places a significant emphasis on providing high-quality customer service experiences. As a Credentialing Specialist, you’ll have the opportunity to showcase your problem-solving skills and attention to detail in a work-from-home setup. Your day-to-day will involve assisting with claims adjudication and supporting customers via phone, email, and chat, all while engaging with the dynamic world of medical terminology and credentialing processes. Your familiarity with this space will allow you to thrive and contribute meaningfully to our healthcare team. We offer an enticing salary of $13.50 per hour along with performance-based incentives that can add up to $1500 a month. Not only do we provide medical, dental, and vision benefits, but we also care about your personal growth with robust training and development opportunities. With 80% of our frontline leaders promoted from within, there’s fantastic potential for advancement. Moreover, enjoy perks like employee discounts and wellness programs. So, if you're detail-oriented, motivated, and ready to make a difference in healthcare, join Sutherland today and help us deliver exceptional support to our customers!

Frequently Asked Questions (FAQs) for Credentialing Specialists - Work from home Role at Sutherland
What are the main responsibilities of a Credentialing Specialist at Sutherland?

As a Credentialing Specialist at Sutherland, your primary responsibilities include claims adjudication and provider credentialing. You'll be supporting customers through various channels such as phone, email, and chat, thereby ensuring they receive top-notch assistance. Being detail-oriented with a strong grasp of medical terminology will be crucial in this role, allowing you to handle inquiries effectively and leading to a seamless experience for our customers.

Join Rise to see the full answer
What qualifications do I need to become a Credentialing Specialist at Sutherland?

To become a Credentialing Specialist at Sutherland, you should have experience in claims and/or credentialing environments, along with knowledge of medical terminology. Experience in a medical office is preferred, and you'll need to demonstrate excellent data entry skills, including typing at least 40 words per minute. Additionally, you must have a reliable internet connection for working from home to ensure high-quality performance.

Join Rise to see the full answer
Is prior experience necessary to work as a Credentialing Specialist at Sutherland?

While prior experience in claims or credentialing is highly beneficial for a Credentialing Specialist role at Sutherland, it is not strictly necessary. What matters most is your willingness to learn and adapt quickly in a dynamic healthcare environment, as well as your ability to communicate effectively and maintain accuracy in data handling.

Join Rise to see the full answer
What does Sutherland offer in terms of benefits for Credentialing Specialists?

Sutherland offers a well-rounded benefits package for Credentialing Specialists, which includes a competitive hourly rate, performance-based incentives that can reach up to $1500 a month, comprehensive medical, dental, and vision insurance, paid training, and paid time off. Moreover, our company is committed to employee growth, providing opportunities for advancement and numerous wellness programs.

Join Rise to see the full answer
Can I work from home as a Credentialing Specialist at Sutherland?

Yes, as a Credentialing Specialist at Sutherland, you will work from home. Sutherland provides the necessary equipment; however, it is important that you have a reliable internet connection that meets our specified download and upload speeds to ensure effective communication and productivity. A quiet and secure workspace is also required for optimal work performance.

Join Rise to see the full answer
Common Interview Questions for Credentialing Specialists - Work from home
How do you handle difficult conversations with customers as a Credentialing Specialist?

When dealing with difficult conversations, it's important to remain calm and listen actively to the customer's concerns. I ensure that I acknowledge the issue and express empathy. I also strive to provide solutions or alternatives and follow up when necessary, showing the customer that I care about their resolution and experience.

Join Rise to see the full answer
What is your understanding of medical terminology important for this role?

Medical terminology is crucial for a Credentialing Specialist because it allows for clear communication with healthcare providers and accurate processing of claims. During an interview, I would discuss specific terms related to procedures, diseases, and insurance coding that are relevant to my previous experience. Understanding this terminology demonstrates my readiness to engage effectively in the role.

Join Rise to see the full answer
Can you explain a time you resolved a customer issue successfully?

I had a situation where a customer felt misinformed about their claim status. I took the time to investigate the issue thoroughly while maintaining open communication with the customer. After clarifying the error, I provided them with detailed steps moving forward and followed up, ensuring they felt supported throughout the process. This approach reinforced their trust in our services.

Join Rise to see the full answer
What skills make you a great fit for the Credentialing Specialist position?

My attention to detail and strong organizational skills make me a great fit for a Credentialing Specialist position. I am accustomed to navigating complex information accurately and efficiently. Additionally, I possess excellent communication skills that help me engage effectively with customers, ensuring their needs are met promptly.

Join Rise to see the full answer
How familiar are you with claims adjudication processes?

In my previous roles, I was heavily involved in claims adjudication processes, where I prioritized accuracy and compliance with healthcare regulations. I understand the importance of thorough documentation and timely responses to keep the workflow efficient, which is vital in maintaining customer satisfaction and operational integrity.

Join Rise to see the full answer
What process do you follow for ensuring data accuracy?

To ensure data accuracy, I perform regular checks and validations before finalizing any entries. I also utilize automated tools and double-check my work, especially when dealing with complex information. Establishing a habit of verifying details before submission helps in maintaining high standards of data integrity.

Join Rise to see the full answer
How would you manage your time when handling multiple customer requests?

When managing multiple customer requests, I prioritize tasks based on urgency and complexity. Using a digital task list, I quickly assess which requests need immediate attention while ensuring I keep track of all communications. This structured approach allows me to manage my workload effectively without sacrificing quality.

Join Rise to see the full answer
Describe a situation where you had to learn new information quickly.

In my last job, I was required to learn new software for claims processing within a short timeline. I quickly dedicated time to online training modules, reached out to knowledgeable teammates, and practiced using the software with real scenarios. By focusing on hands-on experience, I was able to adapt swiftly and contribute to our team's success.

Join Rise to see the full answer
What do you expect from your role as a Credentialing Specialist?

I expect that my role as a Credentialing Specialist will be dynamic and fulfilling, providing opportunities for me to grow both professionally and personally. I hope to contribute to the team by leveraging my skills and experiences while also learning from my colleagues and continuing to enhance my expertise in healthcare processes.

Join Rise to see the full answer
What motivates you to work in a customer service role?

I am motivated to work in a customer service role because I genuinely enjoy helping others and facilitating solutions for their problems. The ability to positively impact someone's experience and provide valuable support brings me satisfaction and drives my passion for working in this field.

Join Rise to see the full answer
Similar Jobs
Photo of the Rise User
Posted 7 days ago
Photo of the Rise User
NextMove Remote No location specified
Posted 8 days ago
Posted 8 days ago
Photo of the Rise User
Posted 12 days ago
Customer-Centric
Mission Driven
Rise from Within
Fast-Paced
Collaboration over Competition
Startup Mindset
Dare to be Different
Work/Life Harmony
Maternity Leave
Paternity Leave
Family Medical Leave
Family Coverage (Insurance)
Medical Insurance
Dental Insurance
Vision Insurance
Mental Health Resources
Life insurance
Disability Insurance
Health Savings Account (HSA)
Flexible Spending Account (FSA)

To help our clients maximize their customer lifetime value and increase their competitive advantage by driving productivity and efficiency while delivering measurable results.

102 jobs
MATCH
Calculating your matching score...
FUNDING
SENIORITY LEVEL REQUIREMENT
TEAM SIZE
EMPLOYMENT TYPE
Full-time, remote
DATE POSTED
March 14, 2025

Subscribe to Rise newsletter

Risa star 🔮 Hi, I'm Risa! Your AI
Career Copilot
Want to see a list of jobs tailored to
you, just ask me below!
LATEST ACTIVITY
Photo of the Rise User
Someone from OH, Perrysburg just viewed Customer Service Representative (Remote) at ABC Legal Services
Photo of the Rise User
Someone from OH, Mason just viewed Marketing & Communications Intern at Per Scholas
Photo of the Rise User
Someone from OH, Lakewood just viewed Recruiter (Talent Sourcing), 6 month contract at Jerry
Photo of the Rise User
Someone from OH, Westerville just viewed Director Change Management at Discover
Photo of the Rise User
Someone from OH, Dublin just viewed Applied AI Engineer – Computer Vision at Kodiak
Photo of the Rise User
Someone from OH, Dublin just viewed Computer Vision Engineer at Near Space Labs
Photo of the Rise User
Someone from OH, Cleveland just viewed Accounting Co-Op (Part-Time) at Avery Dennison
Photo of the Rise User
Someone from OH, Euclid just viewed Lighting Intern, DreamWorks, Summer 2025 at NBCUniversal
Photo of the Rise User
Someone from OH, Cincinnati just viewed Saw Operator I at Eriez
Photo of the Rise User
Someone from OH, Burton just viewed Creative Director at Webster University
Photo of the Rise User
Someone from OH, Lewis Center just viewed Risk Analytics Manager at Jobber
Photo of the Rise User
Someone from OH, Lewis Center just viewed Risk Analyst II at GoFundMe
Photo of the Rise User
Someone from OH, Lewis Center just viewed Senior Risk Analyst at GoFundMe
Photo of the Rise User
Someone from OH, Lewis Center just viewed Manager, Fraud Operations at Twilio
Y
Someone from OH, Lewis Center just viewed Fraud Manager at Yellow Social Interactive
Photo of the Rise User
Someone from OH, Lewis Center just viewed Senior Associate, Fraud Strategy and Analytics at Wealthsimple
Photo of the Rise User
Someone from OH, Lewis Center just viewed Consulting Manager Fraud Practice at Visa
Photo of the Rise User
Someone from OH, Mansfield just viewed 12 Hour Shift- Food Production Supervisor at Shearer's Foods
Photo of the Rise User
Someone from OH, Lewis Center just viewed Fraud Detection Specialist – Payment Detection (Hybrid) at Zopa
Photo of the Rise User
Someone from OH, Lewis Center just viewed Fraud Operations Specialist - Banking Operations (Hybrid) at Zopa
Photo of the Rise User
Someone from OH, Lewis Center just viewed Senior Third-Party Risk Analyst at Fenergo