Physician / Provider Credentialing

Assist Point Inc; Dallas (TX); On-site; USD 52,000 - 72,000; Full time

Job summary

Assist Point Inc. in Dallas, TX is seeking a detail-oriented Physician/Provider Credentialing Specialist to manage the credentialing process for physicians and other providers, ensuring compliance with regulatory and payer standards.

You will coordinate credentialing, verify qualifications, maintain files, communicate with providers and payers, track renewals, and support audits in a standard office setting in the 75219 area.

Qualifications

• Minimum 2 years in provider credentialing or related healthcare admin role.
• Knowledge of NCQA, URAC, and payer requirements.
• Familiarity with credentialing software and databases.
• Strong attention to detail and organizational skills.
• Excellent communication and interpersonal skills.
• Ability to handle confidential information with discretion.
• Proficient in Microsoft Office Suite (Word, Excel, Outlook).

Responsibilities

• Coordinate and manage credentialing and re-credentialing for physicians and providers.
• Verify provider qualifications: education, licensure, certifications, work history, malpractice.
• Maintain accurate credentialing files and databases.
• Communicate with providers, hospitals, insurers, and regulators for documentation.
• Ensure compliance with regulatory and accreditation standards.
• Prepare and submit credentialing applications to panels and hospitals.
• Track expiration dates and initiate timely re-credentialing.
• Assist with audits and credentialing inquiries as needed.
• Collaborate with internal departments to support onboarding and network participation.

Skills

Attention to detail

Organizational skills

Communication skills

Interpersonal skills

Discretion with confidential data

Teamwork

Education

Associate/Bachelor degree preferred

Tools

Microsoft Office

Job description

Location: Dallas, TX

Job Id:291

# of Openings:1

Job Description

We are seeking a detail-oriented and organized Physician / Provider Credentialing Specialist to join our team in Dallas, TX. The ideal candidate will be responsible for managing and maintaining the credentialing process for physicians and other healthcare providers to ensure compliance with regulatory requirements and payer standards.

Responsibilities

• Coordinate and manage the credentialing and re-credentialing process for physicians and healthcare providers.
• Verify provider qualifications, including education, licensure, certifications, work history, and malpractice insurance.
• Maintain accurate and up-to-date credentialing files and databases.
• Communicate with providers, hospitals, insurance companies, and regulatory agencies to obtain necessary documentation.
• Ensure compliance with all applicable regulatory and accreditation standards.
• Prepare and submit credentialing applications to insurance panels, hospitals, and other entities.
• Track expiration dates and initiate re-credentialing processes in a timely manner.
• Assist with audits and respond to credentialing inquiries as needed.
• Collaborate with internal departments to support provider onboarding and network participation.

Qualifications

• High school diploma or equivalent required; Associate’s or Bachelor’s degree preferred.
• Minimum of 2 years experience in provider credentialing or related healthcare administrative role.
• Knowledge of credentialing processes, NCQA, URAC, and payer requirements.
• Familiarity with credentialing software and databases.
• Strong attention to detail and organizational skills.
• Excellent communication and interpersonal skills.
• Ability to handle confidential information with discretion.
• Proficient in Microsoft Office Suite (Word, Excel, Outlook).

This position is based in our Dallas, TX office located in the 75219 zip code area. The role typically involves office-based work with standard business hours.