Credentialing Specialist

Exceed Healthcare•Irving, TX

About The Position

Why join Exceed Healthcare? At Exceed Healthcare, our mission is simple: improving lives through innovation. We are redefining healthcare by delivering cutting-edge medical services, expanding access through seamless virtual care, and always putting patients at the center of everything we do. Our vision is to lead the future of healthcare by exceeding expectations through technology, strategic insight, and a deep commitment to excellence. We value integrity, respect, accountability, and collaboration. We foster a diverse and inclusive culture where courage and resiliency thrive—and where every team member plays a vital role in making an impact. Join us to be part of a forward-thinking team that prioritizes exceptional patient care, supports your growth, and believes in leading from every role. Job Summary: 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.
2-3 years of experience in payer credentialing, medical staff services, or healthcare administration.
Strong understanding of credentialing processes and healthcare regulations (e.g., HIPAA, NCQA, CMS).
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

Associate or bachelor’s degree in healthcare, business, or related field preferred.
Previous experience with credentialing software and healthcare systems is a plus.
Certification as a Provider Credentialing Specialist (CPCS) or similar credentialing certification is preferred.

Responsibilities

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.
Ensures providers are 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.
Ensures timely renewal of licenses and certifications.