Credentialing Coordinator
1 week ago
Unlock Your Potential as a Credentialing Coordinator
We are seeking a highly skilled and detail-oriented Credentialing Coordinator to join our team at Children's Health in Dallas, Texas. As a key member of our credentialing team, you will play a vital role in ensuring the smooth processing of provider credentials for government plans, Medicaid Managed Care plans, and commercial plans.
About the Role:
The successful candidate will be responsible for preparing credentialing files for individual and organizational providers, performing primary source verification, and maintaining accurate demographic information and required licensure/certification documentation. You will also manage the enrollment process for government plans, Medicaid Managed Care plans, and commercial plans, coordinating with practitioners or their representatives to gather and verify necessary data.
Your Key Responsibilities Will Include:
- Credentialing File Preparation: Prepare comprehensive credentialing files for individual and organizational providers, adhering to NCQA, CMS, TMHP, and contracted payer standards.
- Primary Source Verification: Perform thorough primary source verification using pre-approved sources, documenting verification efforts consistently with Children's Health Provider Credentialing policies.
- Demographic Information Maintenance: Obtain, verify, and maintain complete and accurate demographic information and required licensure/certification documentation for supported individual practitioners and organizational providers.
- Enrollment Process Management: Manage the enrollment process for government plans, Medicaid Managed Care plans, and commercial plans, collaborating with multiple departments to obtain and retain current copies of certificates and other documents.
Requirements:
To succeed in this role, you will need:
- At least 2 years' experience in Payor Relations or Credentialing with an insurance company, hospital, or other large group of providers;
- A two-year associate's degree or equivalent experience; and
- Certification as a Certified Provider Credentialing Specialist (CPCS) is preferred.
What We Offer:
As a valued member of our team, you can expect a competitive salary range of $65,000 - $85,000 per year, depending on your level of experience and qualifications. Our benefits package includes wellness and fitness programs, medical benefits, dental benefits, vision benefits, holiday pay, pet insurance, employee assistance programs, license and certification reimbursement, and life insurance.
About Us:
Children's Health is a leading pediatric healthcare organization dedicated to making life better for children. We strive to deliver exceptional patient and family experiences, promoting children's health and well-being through cutting-edge treatments and partnerships with top healthcare institutions like UT Southwestern. Join our mission to create a brighter future for children and contribute to a healthier community.
-
Provider Credentialing Coordinator
4 days ago
Dallas, Texas, United States ACCESS TELECARE Full timeAbout the RoleThe Credentialing Coordinator is a remote-based position that requires strong organizational and communication skills, as well as the ability to work effectively under deadlines and manage multiple projects simultaneously. In this role, you will participate in credentialing, re-credentialing, licensing, and privileging activities, maintain...
-
Credentialing Coordinator for Pediatric Care
7 days ago
Dallas, Texas, United States Children's Health (Dallas) Full timeWe are seeking a highly skilled Credentialing Coordinator to join our team at Children's Health (Dallas). As a key member of our Managed Care department, you will play a crucial role in ensuring the accuracy and completeness of provider credentialing files. This position requires strong organizational skills, attention to detail, and effective...
-
Healthcare Credentialing Coordinator
3 weeks ago
Dallas, Texas, United States Children's Health (Dallas) Full timeJob OverviewWe are seeking a skilled Credentialing Specialist Managed Care to join our team at Children's Health (Dallas).About the RoleThis is an exciting opportunity to make a meaningful difference in the lives of children and their families. As a Credentialing Specialist Managed Care, you will play a critical role in ensuring that our healthcare providers...
-
Credentialing Specialist Managed Care Expert
3 weeks ago
Dallas, Texas, United States Children's Health Full timeChildren's Health is seeking a skilled Credentialing Specialist to join our Managed Care team in Dallas, Texas.About the RoleWe are looking for an experienced professional with at least 2 years of Payor Relations or Credentialing experience. The ideal candidate will have a strong understanding of credentialing processes and procedures, as well as excellent...
-
Patient Care Coordinator
3 weeks ago
Dallas, Texas, United States Aramark Full timePatient Care Coordinator Job DescriptionWe are seeking a dedicated and compassionate Patient Care Coordinator to join our team. As a Clinical Dietitian Specialist, you will play a vital role in providing exceptional patient care and nutrition services.Job Summary:This is a salaried position that requires a high level of expertise in clinical dietetics. You...
-
Medical Office Coordinator
4 days ago
Dallas, Texas, United States SCA Health Full timeAbout UsSCA Health is a dynamic healthcare organization that has grown to 11,000 teammates who care for 1 million patients each year. Our team creates value in specialty care by aligning physicians, health plans and health systems around a common goal: delivering on the quadruple aim of high-quality outcomes and a better experience for patients and...
-
Surgical Office Coordinator
3 weeks ago
Dallas, Texas, United States SCA Health Full time**About the Role**At SCA Health, we are a dynamic group of physician-driven, specialty care businesses that allows us to customize solutions, no matter the need or challenge. As a key member of our team, you will be responsible for providing support to the facility by performing specific or various business office functions as assigned.**Key...
-
Dietitian Specialist
3 weeks ago
Dallas, Texas, United States Aramark Full timeOverview:Aramark is seeking a highly skilled Dietitian to join our team at Boston University Medical Center (BUMC). In this role, you will provide expert nutrition care to patients requiring support.About the Role:This position offers an excellent opportunity for a dedicated and compassionate Dietitian to make a meaningful impact on patient outcomes. As a...
-
Mental Health Specialist Dallas Texas
4 days ago
Dallas, Texas, United States Partum Health Full timeAbout the RoleWe are seeking a skilled mental health specialist to join our team of behavioral health professionals in Dallas, Texas. As a licensed therapist, you will provide telehealth care to patients and work collaboratively with our multidisciplinary model that brings together pelvic health physical therapists, lactation consultants, nutritionists,...
-
Government Enrollment Specialist
3 weeks ago
Dallas, Texas, United States Citizant Full timeJob OverviewCitizant, a leading provider of professional IT services to the U.S. government, seeks a highly skilled Government Enrollment Specialist to manage the Personal Identity Verification (PIV) card enrollment process.Responsibilities:Schedule appointments and service walk-ins for PIV Card Activations, Enrollments, Certificate Updates, and PIN...
-
Pediatric Speech Therapy Specialist
3 weeks ago
Dallas, Texas, United States Sevita Full timeAbout SevitaWe are a leading provider of home and community-based specialized health care services. Our mission is to empower individuals with unique needs to live a full, more independent life.Job OverviewWe are seeking a skilled Pediatric Speech Therapy Specialist to provide in-home and clinical therapy services for children with speech, language, and...
-
Oncology Specialist
3 weeks ago
Dallas, Texas, United States Jackson and Coker Full timeSupervisory Oncologist Opportunity in TexasJackson and Coker is seeking experienced medical oncologists to fill a locums supervisory position in an outpatient imaging and infusion center in Texas.About the Assignment:This assignment requires providers to serve in an 'Incident to' supervisory capacity, providing support to staff including CT, MRI, and PET...
-
Dallas, Texas, United States TheraEx Therapy Full timeAbout the OpportunityTheraEx Therapy is seeking a dedicated and skilled travel Physical Therapist to join our team at a 50-bed inpatient acute rehabilitation hospital in Dallas, Texas.Job SummaryWe are looking for a motivated and compassionate Physical Therapist to provide high-quality patient care and support our multidisciplinary team in delivering...
-
Healthcare Utilization Manager
3 weeks ago
Dallas, Texas, United States Parkland Hospital Full timeAbout the RoleAs a Healthcare Utilization Manager at Parkland Health and Hospital System, you will play a critical role in ensuring that our patients receive high-quality, cost-effective care. In this position, you will be responsible for reviewing prior authorization and appeals requests for approval or denial of claims payment based on medical...
-
Quality Assurance Program Manager
2 weeks ago
Dallas, Texas, United States Valor Healthcare, Inc. Full timeJob DescriptionCompany Overview: Valor Healthcare, Inc. is a leading provider of healthcare services.Salary: $120,000 - $150,000 per yearJob Summary:We are seeking an experienced Quality Assurance Program Manager to join our team. The ideal candidate will have extensive experience in quality assurance programs in call center or healthcare settings with...
-
Mergers and Acquisitions Attorney
2 weeks ago
Dallas, Texas, United States Top Tier Reps LLC Full timeJob Title: Mergers and Acquisitions AttorneyAbout Us:Top Tier Reps LLC, a leading national law firm, is seeking a skilled mid-level associate to join their Corporate M&A team in either Nashville or Dallas. Our client values expertise and dedication in managing complex transactions.Salary Information:The estimated annual salary for this position is $145,000 -...
-
Pain Management Specialist
2 weeks ago
Dallas, Texas, United States VA North Texas health care Full timePain Management- Advanced Practice Nurse-Certified Nurse Practitioner PositionWe are seeking an experienced and skilled Advanced Practice Registered Nurse (APRN) to join our team as a Pain Management Specialist at the VA North Texas Health Care System. As a crucial member of our healthcare team, you will be responsible for providing high-quality patient...
-
Credentialing Coordinator PRN
1 month ago
Dallas, United States Methodist Health System Full timeHours of Work : As needed Days Of Week : Sun-Sat Work Shift : Job Description : Your Job: The Credentialing Coordinator Utilizes knowledge of credentialing/re-credentialing principles, NCQA Standards, legal principles of credentialing, credentialing and managed care terminology, and management of credentialing information in the review of practitioners...
-
Senior Credentialing and Managed Care Coordinator
4 months ago
Dallas, United States Texas Oncology Full timeOverview: The US Oncology Network is looking for a Credentialing and Managed Care Coordinator to join our team at Texas Oncology! This position will support our corporate location in Dallas, Texas.As a part of The US Oncology Network, Texas Oncology delivers high-quality, evidence-based care to patients close to home. Texas Oncology is the largest community...
-
Dallas, United States The US Oncology Network Full timeOverviewThe US Oncology Network is looking for a Credentialing and Managed Care Coordinator to join our team at Texas Oncology!This position will support our corporate location in Dallas, Texas. As a part of The US Oncology Network, Texas Oncology delivers high-quality, evidence-based care to patients close to home. Texas Oncology is the largest community...
-
Registered Nurse PCU Medical
2 weeks ago
Dallas, United States Children's Health (Dallas) Full timep>Children's Health (Dallas) is seeking a Registered Nurse (RN) PCU - Progressive Care Unit for a nursing job in Dallas, Texas. Job Description & Requirements Specialty: PCU - Progressive Care UnitDiscipline: RNDuration: OngoingEmployment Type: Staff Job Title & Specialty Area: Credentialing Specialist Managed CareDepartment: Managed CareLocation: Dallas,...
-
Locum - Oncology Physician
1 month ago
Dallas, United States Jackson + Coker Full timeNEW Locums Oncologist Supervision Job in Texas Date of coverage: October 2024 - January 2025 (sporadic weeks) Details of Assignment: Looking for providers to serve in an 'Incident to' supervisory capacity on short notice for emergency coverage needs I2 coverage outpatient imaging and infusion center to sit in for infusions Support staff: CT, MRI, and PET...
-
Oncology - Medical Oncology Physician
2 months ago
Dallas, United States Jackson and Coker Full timeNEW Locums Oncologist Supervision Job in Texas Date of coverage: October 2024 - January 2025 (sporadic weeks)Details of Assignment: Looking for providers to serve in an 'Incident to' supervisory capacity on short notice for emergency coverage needs I2 coverage outpatient imaging and infusion center to sit in for infusions Support staff: CT, MRI, and PET...
-
Surgical Physician Assistant
3 months ago
dallas, United States Mpower Healthcare Full timeSurgical Physician Assistant / Surgical Nurse Practitioner / RNFA / LSA (Spine, Ortho, Robotics) - DFW, TXOverview MPOWERHealth is seeking a highly skilled Surgical First Assist to join our team in Dallas-Fort Worth, TX. We are looking for a dedicated professional with OR experience and one of the following credentials: PA, NP/RNFA, LSA. As a Surgical First...
-
Obstetrics and gynecology
5 days ago
Dallas, United States Locum Jobs Online Full timeLocum Jobs Online is working with Locum Tenens.com to find a qualified Obstetrics and Gynecology MD in Texas! About The Position A facility is seeking an OB/GYN for locum tenens coverage. While near Houston, Texas on assignment, head into the city for a gorgeous skyline with great food options like chicken and waffles at The Breakfast Klub or pad thai from...
-
Manager, Ultrasound
3 weeks ago
Dallas, United States Parkland Health and Hospital System Full timeInterested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a...
-
Project Manager
4 days ago
Dallas, United States PTR Global Full timeOur client is seeking an experienced Software Delivery Project Manager for a long-term contract opportunity. Preferably this person will sit in Dallas, TX as some onsite work will be required but they are open to fully remote candidates as well.Software Delivery – Project/Program ManagerResponsibilities:Coordinate and manage the software development...
-
Social Wk
1 month ago
Dallas, United States Children's Health Full timeJob Title & Specialty Area: Clinical Social Worker MSW PRN Department: Social Work Location: Dallas - Occassional cross coverage to Plano campus Shift: 7a-7p or 7p-7a and varying times on Saturday and Sunday. We have an 8-6pm and 11a-7p as well. Shift times varies. Should be flexible and able to pick up shifts in advance as well as last minute.- Weekends...
-
Executive Director of Personal Care Services
1 month ago
Dallas, United States PruittHealth Full timeAs part of PruittHealth’s top initiatives, a new division for Personal Care Services (PCS) iin the Atlanta, GA market. PruittHealth is looking to bring on an Executive Director to operationalize and stand up this new division, as well as sell, market and run the day-to-day operations. This position will require someone who is a driver with an...
-
Chief Development Officer
3 weeks ago
Dallas, United States Gaston College Full timeSUMMARY PAY WILL DEPEND ON QUALIFICATIONS Open until filled- The Chief Development Officer is a relationship-oriented professional that is responsible for leading, developing and implementing strategies for identifying, cultivating, soliciting, and stewarding individuals, organizations, private foundations, and businesses/corporations in leadership gift...
-
Chief Development Officer
3 weeks ago
Dallas, United States Gaston College Full timeSUMMARY PAY WILL DEPEND ON QUALIFICATIONS Open until filled- The Chief Development Officer is a relationship-oriented professional that is responsible for leading, developing and implementing strategies for identifying, cultivating, soliciting, and stewarding individuals, organizations, private foundations, and businesses/corporations in leadership gift...
-
Chief Development Officer
3 weeks ago
Dallas, United States Gaston College Full timeSUMMARY PAY WILL DEPEND ON QUALIFICATIONS Open until filled- The Chief Development Officer is a relationship-oriented professional that is responsible for leading, developing and implementing strategies for identifying, cultivating, soliciting, and stewarding individuals, organizations, private foundations, and businesses/corporations in leadership gift...
-
Special Education Teacher | Highland Park, TX
3 weeks ago
Dallas, United States Soliant Full timeJob DescriptionJob DescriptionMinimum 1+ years special education experience required.DetailsPosition Type: Full Time, 37.5 - 40 hoursCaseload: K - 12th, Multiple Needs Across All Grade LevelsPay range: $35- 42/hrResponsibilities:Developing and implementing individualized education plans (IEPs) for students with special needs. Creating a supportive and...
-
Special Education Teacher | Highland Park, TX
3 weeks ago
Dallas, United States Soliant Full timeJob DescriptionJob DescriptionMinimum 1+ years special education experience required.DetailsPosition Type: Full Time, 37.5 - 40 hoursCaseload: K - 12th, Multiple Needs Across All Grade LevelsPay range: $35- 42/hrResponsibilities:Developing and implementing individualized education plans (IEPs) for students with special needs. Creating a supportive and...
-
Fiber Construction Inventory Specialist
1 month ago
Dallas, United States PTR Global Full timeOur client is seeking an experienced Fiber Construction Inventory Specialist for an exciting long term contract opportunity with a fast growing company in the telecommunications industry. This is a hybrid role and requires this person to sit in Dallas, TX.The Fiber Construction Inventory Specialist is responsible for reviewing national inventory management...
-
Fiber Construction Inventory Manager
1 month ago
Dallas, United States PTR Global Full timeOur client is seeking an experienced Fiber Construction Inventory Manager for an exciting short term contract to hire opportunity with a fast growing company in the telecommunications industry. This is a hybrid role and requires this person to sit in Dallas, TX. The Fiber Construction Inventory Manager is responsible for overseeing the inventory management...
-
Registered Nurse
1 month ago
Dallas, United States Children's Health Full timeJob Title & Specialty Area: Registered Nurse, Acute Care Cardiology Unit Department: Heart Center Location: Dallas, TX Shift: Nights Job Type: On-Site Why Children's Health? At Children's Health, our mission is to Make Life Better for Children, and we recognize that their health plays a crucial role in achieving this goal. Through our cutting-edge...