Credentialing & Enrollment Specialist (Temp →FT)

BayMark Health Services, Inc.

Lewisville (TX)

On-site

USD 45,000 - 65,000

Full time

12 hours ago
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Job summary

BayMark Health Services is seeking a Credentialing Coordinator to support credentialing and enrollment of healthcare providers and facilities across the organization.

Responsibilities include managing credentialing applications, verifying licenses, tracking renewals, and partnering with leadership and internal departments to ensure efficient processes. Use CAQH, NPPES, and PECOS while maintaining accurate records and meeting deadlines in a fast-paced environment.

Qualifications

  • High school diploma or equivalent required; associate degree preferred.
  • Three years of related experience reviewing applications, maintaining databases, auditing documentation, or supporting credentialing/licensing processes preferred.
  • Healthcare credentialing, provider enrollment, or medical staff experience preferred.
  • Experience with CAQH, NPPES, and PECOS strongly preferred.
  • Experience in behavioral health or substance use disorder treatment is a plus.
  • Strong attention to detail with the ability to identify missing or inaccurate information.
  • Excellent written and verbal communication skills.
  • Strong organizational, analytical, and time-management skills.
  • Ability to manage multiple priorities and meet deadlines in a fast-paced environment.
  • Proficiency in Microsoft Office, including Word and Excel.

Responsibilities

  • Coordinate initial and renewal credentialing applications for healthcare practitioners and facilities.
  • Review applications and supporting documentation for completeness, accuracy, and compliance.
  • Collect, verify, and maintain provider credentials, licenses, certifications, accreditation information, and other required documentation.
  • Maintain accurate and current practitioner and facility information within credentialing databases and systems.
  • Utilize CAQH, NPPES, and PECOS to maintain and update provider information.
  • Monitor credentialing, licensing, and renewal deadlines to ensure timely completion.
  • Communicate regularly with physicians, advanced practice providers, counselors, facility leadership, and credentialing or licensing entities.
  • Partner with internal departments, including Human Resources, Legal, Accounting, and Operations, to obtain information and complete required applications.
  • Maintain detailed documentation and audit trails throughout the credentialing process.
  • Prioritize multiple credentialing projects and deadlines across different stages of completion.
  • Troubleshoot credentialing issues and proactively follow up on outstanding information or documentation.
  • Perform other duties as assigned.

Skills

Attention to detail
Communication
Time management
Organizational skills
Microsoft Office
Problem solving
Prioritization
Multi-tasking
Healthcare credentialing
Credentialing experience

Education

High school diploma
Associate degree preferred

Tools

CAQH
NPPES
PECOS

Job description

BayMark Health Services is seeking a Credentialing Coordinator to support credentialing and enrollment of healthcare providers and facilities across the organization.

Responsibilities include managing credentialing applications, verifying licenses, tracking renewals, and partnering with leadership and internal departments to ensure efficient processes. Use CAQH, NPPES, and PECOS while maintaining accurate records and meeting deadlines in a fast-paced environment.

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