Credentialing Specialist

Job Summary

To support a growing healthcare organization, the full-time Credentialing Specialist will independently manage end-to-end credentialing and recredentialing processes for physicians and advanced practice providers, working remotely within the DFW area.

Key responsibilities

• Independently manage credentialing and recredentialing for providers across various healthcare settings
• Coordinate documentation and oversee delegated credentialing processes to ensure compliance with NCQA and contractual requirements
• Prepare and maintain Medicare and Medicaid enrollment applications, ensuring accuracy and regulatory compliance

Required qualifications

• Bachelor's degree preferred; high school diploma or equivalent required
• 3-5 years of progressive experience in provider credentialing and enrollment
• Experience with delegated credentialing and accreditation audits
• CPCS - Certified Provider Credentialing Specialist certification preferred upon hire
• Advanced knowledge of regulatory and accreditation standards, including NCQA, URAC, and CMS