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Licensing Credentialing Jobs in Texas (NOW HIRING)

The Credentialing Coordinator role will be responsible for ensuring compliance with NCQA, URAC ... Responsibilities may include: verifying state licenses, exclusions lists, DEA's, board ...

New

Credentialing or licensure experience highly preferred Top 3 Non-Negotiables: * Ability to verify licensure and education * Experience filling out applications * Strong attention to detail and admin ...

The Credentialing Coordinator role will be responsible on ensuring compliance with NCQA, URAC ... Verifying State Licenses, exclusions lists, DEA's, Board Certifications and Medicaid/Medicare ...

Maintains copies of current state licenses, DEA certificates, malpractice coverage, and any other required credentialing documents for all providers. * Maintains professionalism at all times when ...

New

The Credentialing Coordinator role will be responsible on ensuring compliance with NCQA, URAC ... Verifying State Licenses, exclusions lists, DEA's, Board Certifications and Medicaid/Medicare ...

New

The Credentialing Coordinator is responsible for all aspects of the credentialing and recredentialing of health care professionals, including payer enrollment, hospital privileging and licensing. The ...

Coordinator, Credentialing

Irving, TX · On-site

$17 - $22.20/hr

Being a part of the Contracts Department which is responsible for credentialing General Dentists and Specialists to ensure they possess the appropriate professional licenses and credentials to ...

Credentialing Coordinator Credentialing Verification Organization - Plano, TX Full Time | Hybrid ... Communicate with practitioners, data banks, state licensing and regulatory bodies, educational ...

The Credentialing Coordinator is responsible for all aspects of the credentialing and recredentialing of health care professionals, including payer enrollment, hospital privileging and licensing. The ...

Maintains copies of current state licenses, DEA certificates, malpractice coverage, and any other required credentialing documents for all providers. * Maintains professionalism at all times when ...

New

Showing results 21-40

Licensing Credentialing information

Is licensing credentialing a hard job?

Licensing credentialing can be challenging as it requires attention to detail, knowledge of regulatory requirements, and strong organizational skills. The job often involves managing documentation, verifying credentials, and staying updated on licensing standards, which can be demanding but manageable with proper training and experience.

What is the career path for licensing credentialing?

The career path for licensing credentialing typically starts with entry-level roles such as credentialing specialist or coordinator, progressing to senior credentialing manager or director roles. Advancement often requires gaining experience, industry certifications, and knowledge of healthcare or professional licensing regulations, with opportunities to move into compliance, quality assurance, or administrative leadership positions.

What cities in Texas are hiring for Licensing Credentialing jobs?

Cities in Texas with the most Licensing Credentialing job openings:

Credentialing Coordinator

Conflux Systems

Dallas, TX • On-site

Other

Posted 3 days ago

New


Job description

Credentialing Coordinator

POSITION SUMMARY: The Credentialing Coordinator role will be responsible for ensuring compliance with NCQA, URAC, Medicare, Medicaid, Delegation agreements and other pertinent client requirements, policies and procedures, client health plan contracts, URAC guidelines and applicable state and federal requirements. Responsibilities may include: verifying state licenses, exclusions lists, DEA's, board certifications and Medicaid/Medicare enrollment verifications on an ongoing basis to ensure qualified and approved clinicians remain active in the network. Enrolling clinicians in Medicare and Medicaid following state and federal guidelines applying for state licensure for clinicians. S/He will maintain strong cross-departmental relationships with Recruiting, Production, and Education. This role will report to our Supervisor of the Credentialing Hub. Candidates will monitor files to ensure completeness and accuracy; reviews all file documentation for compliance with quality standards, accreditation requirements, and all other relevant policies; prepares and provides information to internal and external customers as appropriate. Enters, updates, and maintains data from provider applications into the credentialing database, focusing on accuracy and interpreting or adapting data to conform to defined data field uses and in accordance with internal policies and procedures. Prepares, issues, electronically tracks, and follows up on appropriate verifications for efficient, high-volume processing of individual applications in accordance with applicable credentialing standards, established procedural guidelines, and strict timelines. Communicates clearly with providers, internal/external clients, and all Signify Health staff as needed to provide timely responses upon request on day-to-day credentialing issues as they arise. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of the latest developments to enhance understanding of various regulations and legislation of the healthcare industry and assist with special projects on an as-needed basis.

QUALIFICATIONS: Preferred NAMSS Certification as a Certified Provider Credentialing Specialist (CPCS). Preferred CAQH Experience, preferred MD Staff Experience, preferred Goggle Suites Experience and highly preferred Licensure Experience.