Credentialing Specialist

ERP International•San Antonio, TX

5d•Hybrid

About The Position

ERP International is seeking an experienced Credentialing Specialist to join our Corporate Team supporting healthcare programs across the federal government. This position is ideal for a credentialing professional with expertise in healthcare provider credentialing, privileging, compliance, and onboarding within a government contracting environment. The Credentialing Specialist serves as a key partner to Clinical Operations, Talent Acquisition, Program Management, and healthcare providers, ensuring that all credentialing and privileging requirements are completed accurately, efficiently, and in accordance with contract, regulatory, and client requirements. This position is based in San Antonio, Texas, with remote work flexibility.

Requirements

Associate degree or higher in Business Administration, Healthcare Administration, Human Resources, or a related field; or equivalent combination of education and relevant experience.
Minimum of five (5) years of healthcare credentialing experience.
Experience supporting provider credentialing and onboarding activities within a federal contractor, healthcare system, managed care organization, military treatment facility, or similar healthcare environment.
Demonstrated experience managing multiple provider files and credentialing priorities simultaneously.
Strong knowledge of healthcare credentialing, privileging, provider enrollment, and primary source verification processes.
Excellent organizational skills and attention to detail.
Ability to manage competing priorities and meet established deadlines.
Strong customer service and relationship management skills.
Excellent written and verbal communication skills.
Ability to work independently while collaborating effectively with cross-functional teams.
Proficiency with Microsoft Office applications, including Outlook, Word, Excel, and Teams.
Ability to maintain confidentiality and handle sensitive information with professionalism and discretion.

Nice To Haves

Certified Provider Credentialing Specialist (CPCS) certification or equivalent credentialing certification.
Experience supporting Department of Defense (DoD), Veterans Affairs (VA), Military Health System (MHS), or other federal healthcare programs.
Experience with credentialing software and provider data management systems.
Knowledge of Joint Commission, NCQA, URAC, or federal credentialing standards.

Responsibilities

Coordinate initial credentialing, recredentialing, and privileging activities for healthcare professionals.
Meet credentialing timeline, quality, and accuracy requirements.
Serve as the primary point of contact for credentialing and privileging inquiries.
Maintain complete, organized, and compliant provider credentialing files and electronic records.
Manage credentialing databases and ensure accurate documentation is entered and maintained.
Review credentialing and privileging requirements for newly awarded contracts and support implementation efforts.
Collect, verify, and track provider documentation required for contract compliance and onboarding.
Partner with recruiters, clinical operations teams, and program managers to ensure providers are fully credentialed prior to their start date.
Monitor and track license, certification, malpractice insurance, and other credential expiration dates.
Generate credentialing reports, status updates, and compliance metrics as requested.
Conduct education, employment, licensure, and background verifications as required.
Audit provider files for completeness, accuracy, and regulatory compliance.
Support continuous process improvement initiatives to enhance credentialing efficiency and quality.
Maintain confidentiality of provider and employee Personnel Identifying Information (PII).
Perform additional duties and special projects as assigned.

Benefits

Competitive compensation and comprehensive benefits package
Generous Paid Time Off (PTO)
Eleven (11) paid federal holidays annually
Medical, Dental, and Vision coverage
Health Savings Account (HSA) options
Company-paid Life Insurance, Short-Term Disability, and Long-Term Disability coverage
401(k) with company matching contributions
Professional development and career growth opportunities
A mission-driven culture supporting Military Service Members, Veterans, and their families
Monthly incentive program