Credentialing Specialist

Exceed Healthcare•Irving, TX

10d

About The Position

The Credentialing Specialist at Exceed Healthcare is responsible for all aspects of the credentialing, re-credentialing and privileging processes for all medical providers who provide patient care as clients of Exceed Healthcare. This Position ensures providers are credentialed, appointed, and privileged with health plans, hospitals and patient care facilities. The Credentialing Specialist maintains up-to-date data for each provider in credentialing databases and online systems; ensure timely renewal of licenses and certifications.

Requirements

High school diploma required; associate or bachelor’s degree in healthcare, business, or related field preferred.
2-3 years of experience in payer credentialing, medical staff services, or healthcare administration.
Proficiency with credentialing databases (e.g., CAQH, PECOS, NPPES) and Microsoft Office Suite (Excel, Word, Outlook) and Gsuite.
Excellent attention to detail and organizational skills with the ability to manage multiple tasks and deadlines.
Strong communication and interpersonal skills, with the ability to collaborate effectively with providers, medical staff, and internal teams.
Ability to maintain confidentiality and handle sensitive information with integrity
Professional written and verbal communication skills and ability
Proven time management and prioritization skills focusing on urgent and overlapping deadlines

Nice To Haves

Previous experience with credentialing software and healthcare systems is a plus.
Certification as a Provider Credentialing Specialist (CPCS) or similar credentialing certification is preferred.
Strong understanding of credentialing processes and healthcare regulations (e.g., HIPAA, NCQA, CMS).

Responsibilities

credentialing
re-credentialing
privileging processes
credentialed, appointed, and privileged with health plans, hospitals and patient care facilities
maintains up-to-date data for each provider in credentialing databases and online systems
ensure timely renewal of licenses and certifications

Benefits

Medical, Dental, & Vision Benefits
Personal Time Off
Retirement Plan
Exceed offers a company math of up to 4% to help contribute to your retirement.
Employee Growth
Exceed values internal promotion and encourages employees to reach their career growth goals.
Exceed Training
Exceed prioritizes the development of our employees by offering a variety of workshops and training programs designed to foster their personal growth and advance their careers.
Competitive Pay
Exceed continuously monitors market evaluations to maintain its position as a leading competitor in the industry.
Work/Life Balance
Exceed recognizes that you have a life beyond your job. We prioritize creating a balanced work schedule for our providers, enabling them to maintain a harmonious life at home as well.