Credentialing Coordinator - Remote Dallas, TX

An industry-leading healthcare organization is seeking a detail-oriented Credentialing Specialist to join their team. This role is responsible for ensuring clinicians successfully navigate the credentialing process by assisting with applications, performing primary source verifications (PSV), and maintaining compliance databases.

The ideal candidate will have strong medical staff credentialing experience, hands-on knowledge of NCQA standards, and high proficiency with Google Suite.

Position Details

• Pay Rate: $18.20/hour

• Contract Duration: August 3, 2026 – December 31, 2026 (with potential for extension or conversion)

• Schedule: Monday – Friday, 7:30 AM – 4:30 PM CST

• Work Location:

  • Fully Remote (U.S.)

  • Note: If you are based in the Dallas, TX area, this role requires being onsite approximately twice a month (every other Tuesday).

• Requirements: Pre-employment drug screen and proof of reliable home internet (speed test screenshot) are required for remote workers.

Key Responsibilities

• File Management: Review, process, and track credentialing and re-credentialing files timely and in accordance with NCQA policies.

• Primary Source Verification: Query appropriate organizations, check state licenses, DEA certificates, malpractice coverage, background checks, and health screenings.

• Committee Preparation: Assemble and organize verified clinician files for presentation to the Credentialing Committee.

• Database Maintenance: Utilize credentialing databases (such as MD Staff) to run queries, generate reports, and maintain accurate provider profiles.

• Compliance & Security: Ensure all files meet internal policies, client contracts, URAC guidelines, and federal/state requirements. Maintain the strict privacy of all protected health information (PHI).

• Stakeholder Support: Provide highly professional, timely email and administrative support to both internal teams and external clinicians.

Required Qualifications

• Experience: 1–3+ years of dedicated medical staff (hospital-based) credentialing experience.

  • Note: This position is not looking for payer enrollment or Medicare/Medicaid provider enrollment backgrounds.

• Verification Skills: Direct experience completing Primary Source Verifications (PSV).

• Compliance Knowledge: Working knowledge of NCQA accreditation standards.

• Technical Skills: Intermediate to advanced proficiency with Google Suite (Gmail, Sheets, Docs).

• Education: High school diploma or equivalent.

Preferred Qualifications

• 2–5 years of total credentialing experience in a hospital or health system environment.

• Experience utilizing the MD Staff database.

• CPCS (Certified Provider Credentialing Specialist) or NAMSS certification (or willingness to obtain within 2 years).

Pay Details: $18.20 per hour

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

Military connected talent encouraged to apply

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The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

• The California Fair Chance Act
• Los Angeles City Fair Chance Ordinance
• Los Angeles County Fair Chance Ordinance for Employers
• San Francisco Fair Chance Ordinance

Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.