Onsite Payor Credentialing & Enrollment Specialist (Dallas)

Wheeler Staffing Partners; Dallas (TX); On-site; USD 62,000 - 69,000; Full time

Job summary

Wheeler Staffing Partners is seeking an experienced Credentialing Specialist for a contract opportunity in Dallas, TX. This onsite role focuses on provider credentialing, enrollment, and database management to support compliance and timely onboarding.

The position is 100% onsite in Dallas, with a Monday–Friday schedule and a pay rate of $30–$33 per hour. Opportunity to convert to permanent.

Qualifications

• Minimum 4 years of experience in managed care or credentialing.
• Knowledge of health plan credentialing and payer enrollment.
• Experience with CAQH applications and credentialing workflows.
• Strong Microsoft Excel and Microsoft 365 skills.
• Ability to work in deadline-driven environments.
• High School Diploma required; vocational or technical training preferred.

Responsibilities

• Collaborate with the local market onboarding team on all new providers in the pipeline.
• Request credentialing data and supporting documents from physicians; communicate delays that may impact project timelines.
• Prepare and update providers’ CAQH applications for initial credentialing and recredentialing.
• Build and maintain peer-to-peer relationships with relevant market and national health plans.
• Communicate newly affiliated providers to plans for TIN changes, demographic updates, or credentialing initiation.
• Establish credentialed status to facilitate billing across multiple specialties.
• Maintain and update credentialing databases to ensure accurate tracking of files and processes.
• Execute all SOPs and communicate issues to the Regional Supervisor.
• Identify opportunities for process improvement and streamline workflows.
• Ensure workflow items are completed within required turnaround times while meeting quality standards.
• Resolve issues related to billing and collections; educate internal markets on contractual obligations and payor requirements.
• Provide credentialing information to Market Operations to support practice management.
• Maintain knowledge of NCQA standards, delegated credentialing, and Primary Source Verification.

Skills

Credentialing knowledge

Excel

Communication skills

Deadline-driven

Education

High School Diploma

Tools

CAQH

Salesforce

Microsoft Excel

Job description

Wheeler Staffing Partners is seeking an experienced Credentialing Specialist for a contract opportunity in Dallas, TX. This onsite role focuses on provider credentialing, enrollment, and database management to support compliance and timely onboarding.

The position is 100% onsite in Dallas, with a Monday–Friday schedule and a pay rate of $30–$33 per hour. Opportunity to convert to permanent.