Credentialing Specialist

Location: Addison
Posted on: June 23, 2025

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.

Keywords: , Grand Prairie , Credentialing Specialist, IT / Software / Systems , Addison, Texas