Credentialing Specialist

Job Description

Job Title : Credentialing Specialist

Duration : 3+ months contract (Possible extension )

Location : Dallas, TX 75246

Education : Bachelor's degree required; healthcare, business, or administration

Shift Details : M-F schedule 9A-5P

Job Description :

Credentialing Analyst supports the credentialing program that implements federal, state and local regulatory and NCQA accreditation requirements.

Ensures that all practitioners and facilities are evaluated upon entry into the PCHP network and conducts an ongoing review of the providers.

Gathers, analyzes, and report provider data for the provider directory, billing needs, and member support