Job Description
Payor Credentialing Specialist
Location: Dallas, TX 75254
Employment Type: Contract
Work Arrangement: 100% Onsite Not Remote
Schedule: Monday Friday, 8:00 AM 5:00 PM
Pay Rate: $30 $33 per hour
About the Role
Wheeler Staffing Partners is seeking an experienced Credentialing Specialist for a contract opportunity with the potential to convert to a permanent role. This role will be fully onsite in Dallas, TX, and will focus on provider credentialing, enrollment, and database management to support compliance and ensure timely provider onboarding.
Key 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 standard operating procedures (SOPs) and communicate issues, trends, and concerns to the Regional Supervisor.
Identify opportunities for process improvement and work with leadership to 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.
Qualifications
Minimum of 4 years of experience in managed care, a centralized credentialing office, or a related healthcare environment (credentialing or file maintenance).
Knowledge of health plan credentialing, governmental payer enrollment (Medicare and Medicaid, multi-state), and related requirements.
Experience with CAQH applications and credentialing workflows.
Familiarity with contract language interpretation and administration.
Strong skills in Microsoft Excel (required), Microsoft 365 (Word, PowerPoint, Outlook), and credentialing databases. Salesforce experience is a plus.
Proven ability to work within deadline-driven environments.
Excellent communication, problem-solving, and customer service skills.
High School Diploma required; vocational or technical training preferred.
Preferred Skills
Roster management and reporting experience.
Experience navigating government portals for Medicare and Medicaid enrollment.
Strong attention to detail, organizational skills, and ability to manage confidential information.
Why Apply Through Wheeler Staffing Partners?
At Wheeler Staffing Partners, we connect skilled professionals with opportunities to grow their careers. Our recruiters provide:
Direct access to top healthcare employers.
Guidance throughout the hiring process.
A streamlined application experience.
Apply today to join as a Credentialing Specialist and support critical healthcare operations with Wheeler Staffing Partners.
Numbers & Facts
| Location | Dallas, TX |
| Industry | Staffing/Employment Agencies |
| Salary | $30 |
| Company Size | 50 to 99 employees |
| Year Founded | 2014 |
| Website | http://wheelersp.com/ |
About Company
Wheeler Staffing Partners' (WSP) has outstanding client relationships providing consultants with access to some of the most desirable employment opportunities across the nation. Our experience, the solutions we provide, our business processes, and partnerships with our consultants and clients has made the company one of the most sought after placement firms for job seekers and companies of all sizes. WSP, provides all candidates with career opportunities, skill assessments, and interview consulting services and our clients with the candidates that meet their culture and skill set. From our Executive Retained Search Teams, Direct Hire and Contract Staffing Professionals to our RPO Service offerings, we create models to deliver a world-class service, with a sense of urgency and professionalism at the best price. Let us put our expertise and services to work for you!
Skills
Level up your application
Professional resume templates
Browse dozens of recruiter approved resume templates, layouts and formats. Choose your favorite and make it your own in minutes.
Free resume templatesFree resume builder
Improve your existing resume or start from scratch and create a standout, ATS-friendly resume. Add job-specific content, download and apply.
Free resume builder