Credentialing Specialist Job at Delta Dallas, Dallas, TX

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  • Delta Dallas
  • Dallas, TX

Job Description

Delta Dallas is partnering with a fast-growing organization to find a Credentialing Specialist to join their team.

If you're looking to join a company that values its people, fosters a strong employee-centric culture, and offers significant growth potential, we encourage you to apply today!

Job Duties:

  • Oversee all initial and reappointment credentialing processes for healthcare providers.
  • Collect and submit credentialing documentation in accordance with assigned provider network requirements.
  • Maintain accurate and up-to-date provider databases, tracking systems, and credentialing files.
  • Perform primary source verification as required.
  • Provide timely and detailed status updates on credentialing activities.
  • Monitor credentialing progress to ensure accuracy and proactively identify re-credentialing needs.
  • Review credentialing documents for compliance with internal policies, regulatory standards, and contractual obligations.
  • Manage and maintain corporate provider contract records.
  • Enter and update provider data in online credentialing systems and databases.
  • Track license and certification expiration dates to ensure timely renewals.
  • Perform additional duties as assigned.

Qualifications:

  • Strong knowledge of compliance standards and credentialing procedures.
  • Proven experience in credentialing and re-credentialing processes.
  • Excellent organizational and documentation skills to maintain detailed records.
  • Ability to communicate effectively with providers, insurance representatives, and internal teams.
  • Strong follow-up skills to ensure timely completion of enrollment and credentialing tasks.
  • Experience in managing logs and spreadsheets for tracking credentialing activities.

Job Tags

Contract work,

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