Credentialing Coordinator [AQ-16169]

Aquent

Dallas (TX)

On-site

USD 42,000 - 64,000

Full time

39 hours ago
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Benefits offered by this job

Subsidized health, vision, and dental
Retirement plans with match
Free online training

Job summary

Aquent is partnering with a leading healthcare organization in Dallas seeking a Credentialing Specialist to ensure a high standard of provider integrity and patient safety.

You will review and process credentialing files, verify licenses and certifications, and support the Credentialing Committee with thorough documentation. The role emphasizes compliance, attention to detail, and collaboration with internal and external stakeholders.

Qualifications

  • 1–3+ years in credentialing, hospital-based preferred.
  • Proficient with Google Suite (Sheets, Docs, Gmail).
  • Knowledge of NCQA accreditation standards.
  • Experience performing Primary Source Verification.
  • Experience with credentialing databases.

Responsibilities

  • Review and process credentialing files for clinicians with accuracy.
  • Maintain systems for timely credentialing processing per standards.
  • Query organizations and evaluate responses for compliance.
  • Maintain copies of licenses, DEA certificates, malpractice coverage, and docs.
  • Review background checks, drug tests, TB screenings and record results.
  • Prepare files for Credentialing Committee.
  • Verify state practice requirements and health plan approvals.
  • Support ongoing monitoring of contracted clinicians.
  • Use credentialing databases to run queries and produce reports.
  • Provide admin support to leadership and stakeholders.
  • Uphold professionalism and timely communication.
  • Contribute to team and assist with special projects.
  • Maintain security/privacy of PHI.

Skills

Active listening
Interpersonal skills
Organization & prioritization
Attention to detail
Communication

Education

High school diploma

Tools

Google Suite
Credentialing databases
Primary Source Verification systems

Job description

Aquent is proud to partner with a leading organization within the dynamic healthcare sector, dedicated to ensuring the highest standards of patient care. This organization plays a pivotal role in upholding the quality and safety of healthcare services, impacting the lives of countless patients through its rigorous processes and commitment to excellence. Joining this team means contributing directly to the integrity and reliability of healthcare, working within a supportive environment that values precision, compliance, and collaborative success.

Are you ready to be a vital force in healthcare quality and patient safety? We are seeking a meticulous and dedicated professional to join a crucial team, acting as the guardian of our healthcare provider network’s integrity. In this pivotal role, you will move beyond processing paperwork to directly ensure that patients receive care from the most qualified and compliant clinicians. This is an exciting opportunity to apply your organizational skills and compliance knowledge in a fast-paced, impactful environment, contributing directly to the trust and reliability of essential healthcare services.

Key Responsibilities
  • Review and process initial credentialing and re-credentialing files for clinicians, ensuring thoroughness and accuracy.
  • Establish and maintain robust systems for the timely processing of credentialing files, adhering to industry accreditation standards.
  • Query relevant organizations and meticulously evaluate responses to ensure provider compliance with established standards.
  • Maintain comprehensive copies of current state licenses, federal drug enforcement agency certificates, malpractice coverage, and all other necessary credentialing documents for providers.
  • Thoroughly review all background checks, drug tests, and tuberculosis screenings, accurately recording the results.
  • Compile all verified information and prepare detailed files for presentation to the Credentialing Committee.
  • Verify providers’ specific requirements for approval to practice in various states and health plans.
  • Provide essential support for the ongoing monitoring of contracted clinicians.
  • Utilize credentialing database systems to perform queries, generate reports, and enhance operational efficiency.
  • Offer administrative support to department leadership and both internal and external stakeholders, fostering collaborative relationships.
  • Uphold the highest level of professionalism at all times, ensuring timely and professional communication.
  • Actively contribute to a team-oriented environment and assist with special projects as needed.
  • Maintain strict security and privacy of all protected health information accessed during work activities.
Must-Have Qualifications
  • 1-3+ years of successful work experience in a credentialing role or department, with a strong preference for medical staff (hospital-based) credentialing experience.
  • Intermediate proficiency with Google Suite, including Google Sheets, Docs, and Gmail.
  • Demonstrated working knowledge of National Committee for Quality Assurance accreditation standards.
  • Hands-on experience completing Primary Source Verification for state licenses, federal drug enforcement agency certificates, malpractice coverage, background checks, and screenings.
  • Experience working within credentialing database systems.
  • Active listening skills and the ability to provide and receive constructive feedback.
  • Strong interpersonal skills, with the ability to build rapport and productive relationships with internal and external stakeholders.
  • High school diploma or up to 1 year of equivalent experience.
Nice-to-Have Qualifications
  • 2-5 years of total credentialing experience.
  • Experience in hospital or health system environments.
  • Experience preparing files for credentialing committee review.
  • Working knowledge of problem-solving and decision-making skills.
  • Ability to effectively organize and prioritize workload and daily tasks.
  • Ability to obtain National Association Medical Staff Services Certification as a Certified Provider Credentialing Specialist within 2 years of eligibility.
About Aquent Talent

Aquent Talent connects the best talent in marketing, creative, and design with the world's biggest brands. Our eligible talent get access to amazing benefits like subsidized health, vision, and dental plans, paid sick leave, and retirement plans with a match. We also offer free online training through Aquent Gymnasium. More information on our awesome benefits!

Aquent is an equal-opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics. We're about creating an inclusive environment-one where different backgrounds, experiences, and perspectives are valued, and everyone can contribute, grow their careers, and thrive.

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