Credentialing Specialist

1 week ago


Fort Worth, Texas, United States Texas Health Care Full time
Job Title: Credentialing Specialist

A private healthcare company in West Fort Worth is seeking a skilled Credentialing Specialist to provide credentialing services for a large, multi-specialty medical group.

Responsibilities:
  • Completing hospital and insurance company applications
  • Maintaining current licenses, malpractice insurance, malpractice claims information, CMEs, references, and verifying hospital participation
  • Working closely with hospitals and insurance companies regarding provider participation
Requirements:
  • High school diploma or general equivalency
  • Knowledge of medical terminology and procedures, ICD 10 and CPT coding, HCPS codes, insurance processes, and computer literacy
  • Familiarity with TSCA, CAQH, case logs, and CMEs
  • Knowledge of Symplr or CredentialStream software is strongly desired but not required
  • At least two years of previous experience in a physician's office or medical billing office
  • Good verbal and written communication skills
  • Ability and willingness to work flexible hours to meet staffing needs


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