Credentialing Specialist

Exceed Healthcare; Irving (TX); On-site; USD 52,000 - 76,000; Full time

Benefits offered by this job

Medical, Dental, & Vision Benefits

Personal Time Off

Retirement Plan

4% retirement match

Employee Growth

Internal promotion opportunities

Training programs

Competitive Pay

Work/Life Balance

Job summary

Exceed Healthcare in Irving, TX is seeking a Credentialing Specialist to manage all credentialing, re-credentialing, and privileging for our medical providers. You will ensure proper appointments with health plans, hospitals, and facilities, maintaining up-to-date data in credentialing databases and handling renewals.

The ideal candidate has 2–3 years in payer credentialing or healthcare administration, a CPCS or similar certification preferred, and strong attention to detail, communication, and

Qualifications

• High school diploma required; associate or bachelor’s degree preferred.
• 2-3 years of experience in payer credentialing, medical staff services, or healthcare administration.
• Previous experience with credentialing software and healthcare systems is a plus.
• Certification as a Provider Credentialing Specialist (CPCS) or similar credentialing certification is preferred.

Responsibilities

• Manage credentialing, re-credentialing, and privileging for all medical providers.
• Ensure timely renewal of licenses and certifications.
• Maintain up-to-date data in credentialing databases and online systems.
• Coordinate with health plans, hospitals and patient care facilities.

Skills

Attention to detail

Time management

Communication

Organisational skills

Confidentiality

Multitasking

Education

High school diploma; associate or bachelor’s degree

Healthcare, business or related degree preferred

Tools

CAQH

PECOS

NPPES

Microsoft Office

GSuite

Job description

Credentialing Specialist
Credentialing Department
Exceed Healthcare

Why join Exceed Healthcare?

At Exceed Healthcare, our mission is simple: improving lives through innovation. We are redefining healthcare by delivering cutting‑edge medical services, expanding access through seamless virtual care, and always putting patients at the center of everything we do.

Our vision is to lead the future of healthcare by exceeding expectations through technology, strategic insight, and a deep commitment to excellence.

We value integrity, respect, accountability, and collaboration. We foster a diverse and inclusive culture where courage and resiliency thrive—and where every team member plays a vital role in making an impact.

Join us to be part of a forward‑thinking team that prioritizes exceptional patient care, supports your growth, and believes in leading from every role.

Exceed Offers:

• Medical, Dental, & Vision Benefits


• Personal Time Off


• Retirement Plan


• Exceed offers a company math of up to 4% to help contribute to your retirement.


• Employee Growth


• Exceed values internal promotion and encourages employees to reach their career growth goals.


• Exceed Training


• Exceed prioritizes the development of our employees by offering a variety of workshops and training programs designed to foster their personal growth and advance their careers.


• Competitive Pay


• Exceed continuously monitors market evaluations to maintain its position as a leading competitor in the industry.


• Work/Life Balance


• Exceed recognizes that you have a life beyond your job. We prioritize creating a balanced work schedule for our providers, enabling them to maintain a harmonious life at home as well

Job Summary:

The Credentialing Specialist at Exceed Healthcare is responsible for all aspects of the credentialing, re‑credentialing and privileging processes for all medical providers who provide patient care as clients of Exceed Healthcare. This Position ensures providers are credentialed, appointed, and privileged with health plans, hospitals and patient care facilities. The Credentialing Specialist maintains up‑to‑date data for each provider in credentialing databases and online systems; ensure timely renewal of licences and certifications.

Requirements:

Education & Experience:

• High school diploma required; associate or bachelor’s degree in healthcare, business, or related field preferred.


• 2-3 years of experience in payer credentialing, medical staff services, or healthcare administration.


• Previous experience with credentialing software and healthcare systems is a plus.


• Certification as a Provider Credentialing Specialist (CPCS) or similar credentialing certification is preferred.

Knowledge & Skills:

• Strong understanding of credentialing processes and healthcare regulations (e.g., HIPAA, NCQA, CMS).


• Proficiency with credentialing databases (e.g., CAQH, PECOS, NPPES) and Microsoft Office Suite (Excel, Word, Outlook) and Gsuite.


• Excellent attention to detail and organisational skills with the ability to manage multiple tasks and deadlines.


• Strong communication and interpersonal skills, with the ability to collaborate effectively with providers, medical staff, and internal teams.


• Ability to maintain confidentiality and handle sensitive information with integrity


• Professional written and verbal communication skills and ability


• Proven time management and prioritisation skills focusing on urgent and overlapping deadlines

We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.