Our Client, a Healthcare company, is looking for a Credentialing Coordinator for their Farmers Branch, TX location.
Responsibilities:
Support diverse network activation projects and operations to ensure department-wide compliance and efficiency.
Manage clinician enrollment, state licensure applications, and renewals according to state and federal guidelines.
Ensure strict adherence to business, state, and accrediting body regulatory requirements, including NCQA, URAC, Medicare, Medicaid, and delegation agreements.
Maintains data tracking and facilitates provider data integrity across organizational units.
Prepare education and training materials on Network Activation policies, procedures, and quality standards, and conduct training to enforce standards.
Drive process improvement initiatives, manage stakeholder inquiries, and execute administrative and operational support to accommodate flexible departmental needs.
Requirements:
3-5 years of successful work experience in a Network Activation or credentialing/Licensing role
Preferred Qualifications:
Candidates local to the Dallas area who can commute to the Signify Health headquarters in Farmers Branch are preferred.
NAMSS Certification as a Certified Provider Credentialing Specialist (CPCS) within 2 years of eligibility to certify.
Intermediate skills in Google Suite Applications such as Gmail, Google Calendar, Google Sheets and Slide Presentations
Education:
High School Diploma
Preferred Experience:
1-3 years
Credentialing or licensure experience highly preferred
Top 3 Non-Negotiables:
Ability to verify licensure and education
Experience filling out applications
Strong attention to detail and admin skills
Compliance:
Candidate will have access to PHI (Personal Health Information)