See all roles

Credentialing Specialist - REMOTE *TEXAS Residents Only*

Work from home Full-time role Hiring

Credentialing Specialist - REMOTE Status: Full-time, Exempt Schedule: Mon-Fri Location: (Remote) Join us at Little Spurs! (Overview): Little Spurs Pediatric Urgent Care and Little Spurs Autism Centers is looking to add a Credentialing Specialist to our growing team! The Credentialing Specialist will be responsible for maintaining the credentialing database, all licensures, insurance, board certifications for Little Spurs healthcare providers. The Credentialing Specialist will work under the direction of the Central Business Office Manager to ensure effective operations and compliance with government/state regulations and UCA requirements. What You Need (Qualifications):

  • High School diploma or equivalent
  • Minimum 3 years provider credentialing experience
  • Ability to meet and confer in a professional manner with Physicians and Physician extenders
  • Bachelor's degree in health care administration, business management, or related field (preferred)
  • Knowledge of credentialing software and ability to navigate payor portals
  • Provider enrollment/reenrollment (CAQH, PECOS, PEMS, TMHP, etc.)
  • Intermediate level of proficiency with Excel, Word, Outlook and Adobe
  • Delegated credentialing experience (preferred)
  • Knowledge of federal and state regulatory requirements and accreditation standards (i.e., Joint Commission, NCQA, UCA, and CMS) (preferred)
  • CPCS or CPMSM (preferred) The Perks (Benefits):
  • Medical, Dental & Vision Benefits available employee, spouse, and dependents
  • Voluntary Short-Term & Long-Term Disability & Voluntary Life Insurance (Employee, Spouse, Children)
  • 401k with 4% company match on 5% employee contribution
  • 80 hours of PTO accumulated through the year; available for rollover
  • More PTO accrued after three and five years of service
  • No cost for in-house medical care for employee and dependent children
  • Employee recognition and appreciation programs Apply tot his job Apply To this Job

Apply tot his job Apply To this Job

You might like

Senior Medical Staff Credentialing Coordinator- Medical Staff Services - Corporate - Full time Days - Remote

Work from home Full-time role

Credentialing Specialist

Work from home Full-time role

Insurance Verification Specialist I Full Time Remote

Work from home Full-time role

US Healthcare Transport & Insurance Verification Coordinator | Remote -EST Hours

Work from home Full-time role

Remote Patient Accounts Specialist: Insurance Verification

Work from home Full-time role

Sr. Insurance Verification Representative

Work from home Full-time role

HEDIS Review Nurse - Remote - Contract

Work from home Full-time role

Insurance Verification & Authorization Supervisor

Work from home Full-time role

Senior Specialist, Member & Community Interventions - HEDIS Quality (Remote in OH)

Work from home Full-time role

[Hiring] Medical Virtual Assistant (Insurance Verification & Authorization Specialist) @Virtual Rockstar

Work from home Full-time role

Deputy Editor - Advanced Nanobiomed Research

Work from home Full-time role

National Sales Manager (Remote)

Work from home Full-time role

Remote Data Entry Specialist – Full‑Time Position with arenaflex – Entry‑Level Data Management, System Support & Remote Career Growth

Work from home Full-time role

Customer Chat & Email Support Specialist – Entry-Level Friendly Customer Service Representative (Florida Residents Only, No Technical Experience Required)

Work from home Full-time role

HR Business Partner, Global Functions

Work from home Full-time role

Senior Financial Analyst – Small Business Finance

Work from home Full-time role

Experienced Remote Data Entry Specialist – Flexible Part-Time Opportunity with arenaflex

Work from home Full-time role

Remote Customer Support Representative – arenaflex – Healthcare Services & Benefits Specialist

Work from home Full-time role

Customer Service Representative – Flexible Hours, Phone & In‑Store Pizza Order Specialist at arenaflex

Work from home Full-time role

Experienced Data Entry Clerk – Alternate Investments (Remote Opportunity)

Work from home Full-time role