Credentialing Specialist
Southlake, TX
Category: Healthcare
Reference ID: 10066124
Shortcut: http://addisongroup.gosnaphop.com/KNgk4K
Position: Credentialing Specialist
Location: Southlake, TX (Hybrid – onsite Tuesday–Thursday, remote Monday & Friday)
Salary: $45000 – $65000 / Year
Assignment Type: Direct Hire
Schedule: Monday–Friday, 8:00 AM – 5:00 PM CST
Start Date: ASAP
Openings: 1
Work Environment: Hybrid (office and remote)
Benefits: This role is eligible for medical, dental, vision 401K and PTO.
Position Overview:
This role supports provider credentialing and payer enrollment activities across a growing healthcare platform. The Credentialing Specialist will handle hands-on credentialing tasks including application preparation, submission, tracking, and payer activation. This position plays a key role in onboarding new providers, supporting acquisitions, and ensuring timely enrollment with Medicare, Medicaid, and commercial payers.
This individual will collaborate with revenue cycle teams, practice leadership, payers, and internal stakeholders to ensure providers are fully credentialed and operational without delays.
Key Responsibilities:
- Complete and submit credentialing and payer enrollment applications for physicians and advanced practice providers
- Maintain provider records in credentialing systems and payer portals (CAQH, PECOS, commercial payer portals, etc.)
- Collect, review, and submit required documentation for enrollment applications
- Track credentialing application status, deadlines, and payer activation timelines
- Follow up with payers, vendors, and internal teams to resolve credentialing issues
- Support onboarding of new providers, including enrollments, reassignments, and payer setup
- Assist with credentialing transitions related to acquisitions, including ownership changes and payer notifications
- Identify and resolve incomplete, delayed, or rejected applications
- Maintain accurate documentation and tracking tools for credentialing workflows
- Assist with Medicare enrollment, reassignment, and revalidation processes
- Communicate credentialing status updates and timelines to internal stakeholders
- Support credentialing process improvements and special projects
Required Experience:
- 3–5 years of provider credentialing and payer enrollment experience
- Experience with CAQH and credentialing/enrollment platforms
- Experience credentialing physicians and advanced practice providers
- Experience with Medicare, Medicaid, and commercial payer enrollment
- Experience credentialing foreign providers strongly preferred
- Experience supporting provider onboarding or multi-site healthcare organizations
- Proficiency in Microsoft Excel, Word, Outlook, and PowerPoint
- Strong organizational and tracking skills
Preferred Qualifications:
- Experience supporting acquisitions or rapid-growth healthcare organizations
- Experience navigating payer portals and credentialing systems
- Experience with physician practice or healthcare operations
Systems & Tools:
- NextTech
- CAQH
- Medicare PECOS portal
- Commercial payer credentialing portals
- Microsoft Office Suite
Ideal Candidate Profile:
- Detail-oriented with strong follow-through
- Able to manage multiple credentialing applications simultaneously
- Strong communication skills when working with providers, payers, and internal teams
- Self-directed and able to work independently
- Comfortable in a fast-paced, growth-oriented healthcare environment
- Adaptable to evolving credentialing processes and workflows
Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.
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