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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.

     

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
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CEO of Sutherland
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Dilip R. Vellodi
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Average salary estimate

$29000 / YEARLY (est.)
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$28000K
$30000K

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

Looking to make a positive impact while working from the comfort of your home? Sutherland is on the hunt for dedicated Credentialing Specialists who are ready to dive into the dynamic world of healthcare. Our mission is to enhance customer experiences, and you’ll play a crucial part in that journey! As a Credentialing Specialist, you’ll utilize your familiarity with medical terminology and your experience in a credentialing environment to assist customers efficiently and compassionately. Whether answering queries via phone, email, or chat, your problem-solving skills will shine as you help navigate claims adjudication and provider credentialing processes. Our supportive team offers a competitive salary of $13.50/hr, opportunities for performance-based incentives, and an array of benefits including medical, dental, and vision coverage, paid training, and generous PTO. You’ll also enjoy employee discounts and wellness programs designed to keep you thriving both at work and at home. Additionally, with 80% of our leadership team coming from internal promotions, there are plenty of opportunities for you to grow within Sutherland. To join our team, you’ll need some prior experience in claims or credentialing, a solid typing speed of 40 WPM, and a secure home office setup with excellent internet capabilities. If you thrive in a supportive and fast-paced environment and are passionate about providing exceptional service, we’d love to hear from you!

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

As a Credentialing Specialist at Sutherland, you will be responsible for managing claims adjudication processes and ensuring providers are credentialed accurately and efficiently. This role requires you to interact with customers via phone, email, or chat to resolve issues and provide exceptional service while utilizing your knowledge of medical terminology. It's a great opportunity for those who are detail-oriented and enjoy problem-solving in a fast-paced environment.

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What qualifications do I need to apply for the Credentialing Specialist position at Sutherland?

To apply for the Credentialing Specialist position at Sutherland, you need some experience in claims and/or credentialing, as well as familiarity with medical terminology. Additionally, prior experience in a medical office setting is beneficial, along with the ability to type at least 40 words per minute. Having a reliable internet connection and a quiet workspace at home is also essential for this remote position.

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How is training conducted for new Credentialing Specialists at Sutherland?

Sutherland provides a comprehensive paid training program for new Credentialing Specialists. This training is designed to equip you with the necessary skills and knowledge to perform your job effectively. You will learn everything from company policies to specific workflows related to claims adjudication and provider credentialing. The training is supportive and interactive to ensure you're well-prepared before you start assisting customers.

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What benefits does Sutherland offer to Credentialing Specialists?

Sutherland offers a variety of benefits for Credentialing Specialists, including competitive pay of $13.50/hr plus potential monthly bonuses. Employees enjoy medical, dental, and vision insurance, paid time off (PTO), employee discounts, and access to wellness programs. The company also prioritizes professional growth: about 80% of our leaders are promoted from within, offering fantastic advancement opportunities.

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What computer setup is required for Credentialing Specialists at Sutherland?

For the Credentialing Specialist role at Sutherland, a secure home office environment is mandatory. You should have a reliable high-speed internet connection, with upload speeds of at least 2 Mbps and download speeds of 10 Mbps (or faster). Additionally, a hard-wired connection is essential, as wireless and satellite services are not compatible with our systems. Make sure to also ensure your workspace is quiet and distraction-free.

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Common Interview Questions for Credentialing Specialists - Work from home
Can you explain your experience with medical terminology as a Credentialing Specialist?

When answering this question, highlight specific instances where you've utilized medical terminology in your previous roles. Discuss any courses, training, or practical experience you have in interpreting medical terms and how that has assisted you in providing accurate and efficient service in a healthcare setting.

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How do you handle difficult situations with upset customers?

In your response, emphasize the importance of empathy and active listening. Describe an example where you successfully resolved an issue with an upset customer, detailing the steps you took to understand their concerns and how you provided a satisfactory solution. Show your approach to maintaining professionalism and composure in challenging scenarios.

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What strategies do you use to ensure accurate data entry in a credentialing process?

To tackle this question, mention the specific techniques you employ to maintain accuracy, such as double-checking information, using software tools effectively, and understanding the significance of precise record-keeping in credentialing. Providing a real-life example will illustrate your commitment to quality and detail.

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Why do you want to work as a Credentialing Specialist at Sutherland?

A strong answer would indicate your interest in the company's mission and values. Discuss why the role excites you, perhaps due to Sutherland's focus on transforming customer experiences or the supportive work environment. Express your enthusiasm for contributing to a team that prioritizes excellence in healthcare service.

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How do you stay organized when managing multiple tasks as a Credentialing Specialist?

Share your methods for prioritizing tasks, such as using digital communication tools and task management systems. Explain how you ensure deadlines are met without sacrificing quality, providing examples from past experiences that showcase your organizational skills.

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Can you describe a time when you identified a problem in the credentialing process and how you resolved it?

When discussing this, focus on a specific problem you recognized, the steps you took to analyze it, and how your solution positively impacted the process. This showcases your proactive nature and ability to contribute to continuous improvement in workflows.

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What tools and software are you familiar with that would assist you in this role?

Provide details about any relevant software such as credentialing systems, customer relationship management tools, or data entry applications you've used in previous positions. Highlight your adaptability and willingness to learn new technologies that Sutherland may use.

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How do you maintain confidentiality while handling sensitive information in a credentialing role?

Your answer should reflect a strong understanding of HIPAA guidelines and the importance of confidentiality in healthcare. Discuss any training you have received on data protection and share practices you implement to ensure sensitive information is handled securely.

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What motivates you to excel in a customer service role like Credentialing Specialist?

Discuss your passion for helping others and how you find fulfillment in resolving issues and providing excellent support. Share personal stories to illustrate how you derive satisfaction from making a positive difference in customer experiences.

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How do you ensure effective communication with team members and customers while working remotely?

Talk about the importance of regular check-ins and utilizing communication tools effectively. Share your strategies for maintaining clarity and openness in communication to ensure everyone is on the same page, highlighting the value of teamwork even in a virtual environment.

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Full-time, remote
DATE POSTED
March 14, 2025

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