Provider Credentialing Coordinator

Jobtailor; Dallas (TX); On-site; USD 45,000 - 65,000; Full time

Job summary

Jobtailor in Dallas, TX is seeking a Credentialing Specialist to manage provider enrollment and privileging workflows from start to completion. You will coordinate files, prepare credentialing packets, and enter information from initial and reappointment applications.

Strong customer service, attention to detail, and solid MS Office skills (including Excel) are required. Experience with databases and verification services helps ensure timely, accurate credentialing across the organization.

Qualifications

• High school diploma or equivalent experience.
• Minimum 1 year of credentialing experience.
• Thorough understanding of the provider privileging process.
• Strong customer service orientation.
• Proficiency with MS Office including Excel.
• Familiarity with databases.

Responsibilities

• Manage assigned book of business through initial and reappointment process.
• Prepare provider credentialing files for required ACOs.
• Create credentialing files and enter all pertinent credentialing information received from the provider's initial and reappointment application.
• Upload supporting documents to the document vault in the company database.
• Coordinate file reviews for accuracy and prepare discrepancies for quality review and approval.
• Research and obtain verification of clinicians' medical experience, professional references, state licensure, DEA registration, DPS credentials, and other required documentation.
• Coordinate with facility, centralized verification services, medical staff, and clinicians to complete privileging process.
• Provide routine status updates for each assigned book of business in the system dashboard.
• Maintain company database with current documentation, licensure and updated demographics.

Skills

MS Office

Excel

Databases

Customer service

Education

High school diploma

Tools

MS Office

Excel

Databases

Job description

Responsibilities

• Manage assigned book of business throughout the initial and reappointment process
• Prepare provider credentialing files for required ACOs
• Create credentialing files and enter all pertinent credentialing information received from the provider's initial and reappointment application
• Upload supporting documents to the document vault in the company database
• Coordinate file reviews for accuracy and prepare discrepancies for quality review and approval
• Research and obtain verification of clinicians' medical experience, professional references, state licensure, DEA registration, DPS credentials, and other required documentation
• Coordinate with facility, centralized verification services, medical staff, and clinicians to complete privileging process
• Provide routine status updates for each assigned book of business in the system dashboard
• Maintain company database with current documentation, licensure and updated demographics

Requirements

• High school diploma or equivalent experience
• Minimum 1 year of credentialing experience
• Thorough understanding of the provider privileging process
• Strong customer service orientation
• High levels of proficiency with MS Office applications including Excel
• Familiarity with databases