Credentialing Specialist — Hybrid (Plano)

Rush University Medical Center; Plano (TX); Hybrid; USD 19,000 - 28,000; Full time

Benefits offered by this job

PTO & EID

Health, dental, and vision insurance

401(k) with company match

Disability coverage

Life insurance

Job summary

Select Medical’s Outpatient Division is seeking a Credentialing Coordinator in Plano, TX, to manage state-specific credentialing for outpatient providers, prepare documentation, update practitioner files, and report changes to internal teams.

The role requires at least 2 years in credentialing, strong Windows skills, and excellent communication. Hybrid schedule, competitive benefits, and opportunities for process improvement are offered.

Qualifications

• At least 2 years of experience in provider credentialing or other related healthcare field.
• Proficient in Windows (Word, Excel, and Access).
• Ability to be professionally assertive with internal and external partners to be influential in finding resolutions.
• Strong oral and written communication skills with the ability to interact professionally and positively within all levels of the organization.
• Detail-oriented with good organizational skills and the ability to maintain accuracy while meeting deadlines and production requirements.
• Excellent interpersonal skills and commitment to quality improvement.
• Professional with the ability to work well independently as well as collaboratively with a team.

Responsibilities

• Manage state-specific credentialing activities for providers in our outpatient facilities.
• Prepare and process all credentialing documentation.
• Update and maintain current and accurate practitioner files and database.
• Track and report practitioner changes to appropriate parties.
• Communicate with practitioners, data banks, state licensing and regulatory bodies, educational programs, health plans, and other company divisions.
• Coordinate with health plans to provide practitioner credentialing documentation as required.
• Participate in activities associated with health plan site audits and Credentialing Committee meetings.
• Coordinate training and educational requirements for credentialing staff.
• Provide routine updates and status reports for health plans and other divisions within the company.
• Maintain confidentiality of practitioner information.
• Collaborate with team members to support process improvement and develop policies and procedures.
• Provide routine updates and status reports to health plans and other divisions.
• Coordinate efforts with other credentialing and Managed Care personnel.
• Troubleshoot with internal business operations and Managed Care contracting to resolve accounts receivable delays due to credentialing issues.
• Participate in the development and coordination of departmental CQI initiatives. Perform other duties as assigned.

Skills

Proficient in Windows (Word, Excel, &?

Job description

Select Medical’s Outpatient Division is seeking a Credentialing Coordinator in Plano, TX, to manage state-specific credentialing for outpatient providers, prepare documentation, update practitioner files, and report changes to internal teams.

The role requires at least 2 years in credentialing, strong Windows skills, and excellent communication. Hybrid schedule, competitive benefits, and opportunities for process improvement are offered.