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Credentialing Coordinator
Credentialing CoordinatorUS Tech Solutions, Inc. • Dallas, TX, US
Credentialing Coordinator

Credentialing Coordinator

US Tech Solutions, Inc. • Dallas, TX, US
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Location : Farmers Branch TX USA 75244

Hybrid role expected on-site every other Tuesday + monthly town hall

Duration : 12 weeks contract

Position Summary

  • The Credentialing Coordinator is responsible for ensuring compliance with NCQA, URAC, Medicare, Medicaid, delegation agreements, client requirements, internal policies and procedures, client health plan contracts, and applicable state and federal regulations.
  • This role focuses on verifying and maintaining accurate provider credentialing information to support a high-quality clinician network. The Credentialing Coordinator will work closely with Recruiting, Production, and Education teams and reports to the Supervisor of the Credentialing Hub.

Key Responsibilities

Credentialing & Compliance

  • Verify state licenses, exclusion lists, DEA registrations, board certifications, and Medicaid / Medicare enrollment on an ongoing basis to ensure clinicians remain active and compliant.
  • Enroll clinicians in Medicare and Medicaid in accordance with state and federal guidelines.
  • Apply for and manage state licensure processes for clinicians.
  • Monitor provider files for completeness, accuracy, and compliance with quality standards, accreditation requirements, and internal policies.

    • Data Management & Documentation

  • Enter, update, and maintain provider data in the credentialing database with high accuracy.
  • Interpret and adapt application data to align with defined data fields and internal procedures.
  • Prepare, issue, and electronically track verifications to support efficient, high-volume processing of applications.
  • Follow up on outstanding verifications within established timelines and in accordance with credentialing standards and procedural guidelines.

    • Communication & Customer Service

  • Communicate clearly and professionally with providers, internal stakeholders, and external clients regarding day-to-day credentialing issues.
  • Provide timely responses and status updates to internal and external customers as requested.

    • Professional Development & Projects

  • Maintain professional growth and knowledge of healthcare regulations, accreditation standards, and industry trends through seminars, workshops, and professional affiliations.
  • Assist with special projects as needed within the Credentialing Hub.

    • Required & Preferred Qualifications

    Experience

  • 1 –3 years of experience in credentialing, provider enrollment, or licensure coordination (highly preferred).
  • Experience verifying licensure and education credentials (required).
  • Experience completing and submitting applications (required).
  • Prior experience handling PHI (Personal Health Information) in a healthcare setting is a plus.

    • About US Tech Solutions :

    US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit

    www.ustechsolutions.com

    US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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    Credentialing Coordinator • Dallas, TX, US

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