Performance Outcomes
Credentialing Process Management
Collect and review credential applications for completeness and accuracy.
Ensure all required documents, such as education, training, licensure, and certifications, are obtained and verified.
Maintain a thorough understanding of regulatory requirements, accrediting standards, and internal policies related to credentialing.
Manage the initial and re-credentialing processes for all network providers.
Keep track of deadlines and ensure timely completion of the credentialing process.
Verification and Evaluation
Verify the credentials for the accuracy of information provided by network providers including education, training, certifications, and licenses, through primary sources.
Conducting thorough background to local state bar agencies.
Evaluate network healthcare provider credentials to ensure they meet the required standards and qualifications.
Assess and address any discrepancies or issues that arise during the credential process.
Document and maintain records of verification outcomes.
Compliance and Database Management
Ensure compliance with applicable regulatory requirements and accrediting standards.
Stay updated with changes in regulations and standards and make necessary adjustments to the credentialing process.
Maintain accurate and up-to-date records of network providers in a credential database. d. Enter and update information related to credentials, licenses, certifications, and other relevant details.
Generate reports on credentialing status, expirations, and upcoming re-credentialing activities.
Collaborate with internal and external stakeholders to address and resolve any compliance issues.
Education, Knowledge, and Experience
3 years of experience in customer service, preferably in sales environment preferred
High School diploma or equivalent required
Strong computer knowledge; proficiency in Microsoft Office applications
Types a minimum of 35 WPM
Compassionate, courteous, and concise communication skills
Excellent writing skills
Ability to educate our customers effectively and accurately on products and services
Excellent telephone etiquette
Detail-oriented and strong organizational skills
Strong computer knowledge; proficiency in Microsoft Office applications
Ability to multi-task with multiple assigned contracts
Accurately able to retain and document copious amounts of information
FLSA Status
Non Exempt
Physical Requirements/ Work Environment
The work environment characteristics and physical demands described here are representative of these an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Maintain excellent attendance and adherence
Able to retain copious amounts of information as it relates to the customer’s issue, the customer's benefits, and limitations.
Prolonged periods of sitting or standing at a desk and working on a computer.
Must be able to regularly lift and carry and otherwise move up to 15 pounds at times and occasionally up to 30 pounds.
The ability to frequently physically move between departments/floors.
While performing the duties of this job, the employee is regularly required to use hands free and fingers to handle, feel, or operate objects, tools, or controls, and reach with hands and arms.
Additional Information
Location: Remote – United States
Work Arrangement: This position is fully remote. Occasional travel to corporate offices or company events may be required based on business needs.
Employment Type: Full-time
FLSA: Non-exempt
Application deadline: This posting is anticipated to close on 12/15/2026
Compensation: $27,956 - $37,411 annually
Benefits
LegalShield offers eligible employees a comprehensive benefits package that includes medical, dental, and vision coverage; company-paid short-term disability and basic life and AD&D insurance; a 401(k) retirement plan with company match; paid time off, paid holidays, paid sick leave, and paid parental leave; and LegalShield and IDShield membership plans. Additional benefits may apply based on position and eligibility.
Other Compensation
In addition to base pay, this position is eligible for an annual OR quarterly bonus which is a percentage of base salary and based on company and individual performance. Incentive awards are discretionary and are not guaranteed.
Location
Remote Job Posting
Department
9372-1 Legal Services
Time Type
Full time
Commitment to Equal Opportunity
PPLSI conforms to all the laws, statutes, and regulations concerning equal employment opportunities. We strongly encourage women, minorities, individuals with disabilities and veterans to apply to all of our job openings. We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, status as a protected veteran, and basis of disability or any other federal, state or local protected class. We prohibit retaliation against individuals who bring forth any concerns, orally or in writing, to the employer or the government, or against any individuals who assist or participate in the investigation of any concerns or otherwise oppose discrimination.
If you require a reasonable accommodation to complete the application process, please contact Human Resources at: humanresources@legalshieldcorp.com.
