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Credentialing Specialist

2 months ago

Richardson, Texas, United States Health Care Service Corporation Full time

About the Role:

At Health Care Service Corporation, we empower our employees with curated development plans that foster growth and promote rewarding, fulfilling careers. We are seeking a skilled Credentialing Specialist to join our team.

Job Summary:

This position is responsible for reviewing, researching, and processing applications for initial credentialing and recredentialing. In an accurate and timely manner, this role will be responsible for completing all primary and secondary source verifications to support the credentialing and recredentialing of professional and/or institutional providers for multiple states.

Key Responsibilities:

  • Utilize established policies and procedures to review and process credentialing applications.
  • Conduct thorough research and verifications to ensure accuracy and compliance.
  • Correspond with providers regarding missing information, supporting documentation, and/or application status updates.
  • Ensure processed applications meet internal quality review standards and performance expectations.

Requirements:

  • High school diploma or equivalent.
  • 2 years of business experience, or a combination of college-level education and experience.
  • Clear and concise communication skills, both written and verbal.
  • Strong organizational skills to handle multiple processes and states.
  • Proficiency in Microsoft Office, including Word, Excel, and Access.

Preferred Requirements:

  • Proficiency in Microsoft Excel.
  • Experience working in a high-volume, fast-paced environment.
  • Knowledge of state regulatory requirements and accreditation standards for credentialing.

Work Schedule:

This role works a block schedule: 3 weeks at home, 1 week in office after training is complete.

Equal Employment Opportunity:

Health Care Service Corporation is an Equal Opportunity Employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, respected, and valued.