Provider Data & Credentialing Coordinator | Network Operations

HCSC Group; Richardson (TX); Hybrid; USD 41,000 - 73,000; Full time

Job summary

Health Care Service Corporation in Richardson, TX is seeking a Data & Provider Credentialing Specialist responsible for contracting, credentialing, and maintenance of Professional Provider Data to support Marketing, Membership and Network Contracting across all lines of business.

You will handle provider contracts, rosters and requests, participate in internal meetings, and research issues related to credentialing and data accuracy.

Qualifications

• 2 years of college OR two years of experience.
• Written and verbal communication to interact with internal and external customers.
• Analytical and quantitative skills.
• Ability to take initiative and work independently.

Responsibilities

• Coordinate contracting, credentialing, and maintenance of Professional Provider Data.
• Support marketing, membership, and network contracting with data accuracy.
• Participate in internal provider meetings and work groups.
• Research problems related to provider credentialing and data quality.
• Serve as liaison between Network Contracting and Provider Data Management for credentialing and network activities.

Skills

Written and verbal communication

Analytical skills

Initiative & independence

Education

Two years of college or two years experience

Job description

Health Care Service Corporation in Richardson, TX is seeking a Data & Provider Credentialing Specialist responsible for contracting, credentialing, and maintenance of Professional Provider Data to support Marketing, Membership and Network Contracting across all lines of business.

You will handle provider contracts, rosters and requests, participate in internal meetings, and research issues related to credentialing and data accuracy.