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Provider Credentialing Specialist

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Job Description - Provider Credentialing Specialist


Exceptional Healthcare operates a growing network of micro-hospitals delivering high-quality, patient-centered care in underserved communities. We currently have 8 facilities across Arizona, Oklahoma, New Mexico, and Texas, with continued expansion planned in South Dakota, Utah, Wyoming, and beyond.

Our organization supports over 200+ providers, including employed providers and locum tenens partnerships, and continues to grow rapidly.

Position Summary

We are seeking a detail-oriented Provider Credentialing Specialist to support provider onboarding, credentialing, and compliance. This role is responsible for managing provider files from start to finish, ensuring all documentation is complete, accurate, and audit-ready.

This is a fast-paced role requiring strong organization, follow-through, and professional communication.
 

**We prefer candidates in the Dallas, TX area.  Remote work option available**
 

Key Responsibilities

· Manage provider onboarding and serve as a primary point of contact for new providers

· Build and maintain complete, compliant credentialing files

· Perform and maintain Primary Source Verification (PSV), including licenses, certifications, and health documents

· Complete and track affiliation verifications

· Maintain and update provider rosters using Excel

· Track CMS acknowledgment forms and QIO-related documentation

· Support provider privileging processes and approvals

· Ensure ongoing compliance with CMS, state, and accreditation requirements

· Ensure CAQH Profiles remain accurate, updated, and attested

· Prepare for and support accreditation and state inspections

· Track file status and provide weekly reporting on progress and outstanding items

Qualifications

· 1–3 years of experience in credentialing, medical staff services, or healthcare administration preferred

· Strong understanding of credentialing and PSV processes

· Highly organized with strong attention to detail

· Ability to manage multiple providers and deadlines simultaneously

· Strong written and verbal communication skills

· Ability to work independently in a fast-paced environment

Technical Skills

· Proficient in Microsoft Excel, Outlook, and Word

· Experience with DocuSign preferred

· Experience with credentialing or tracking systems is a plus

Why Join Us

· Growing healthcare organization with expansion opportunities

· High-impact role supporting provider readiness and compliance

· Collaborative team environment

Apply Today

If you are organized, detail-driven, and thrive in a fast-paced healthcare environment, we encourage you to apply.

Original job Provider Credentialing Specialist posted on GrabJobs ©. To flag any issues with this job please use the Report Job button on GrabJobs.
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