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Credentialing Specialist in Dallas, TX

Credentialing Specialist job description

The credentialing specialist manages the verification and maintenance of provider credentials to ensure compliance with regulatory standards and organizational policies. This role is responsible for processing applications, conducting background checks and maintaining accurate records for healthcare professionals.Working closely with providers, insurance companies and internal teams, the credentialing specialist ensures timely credentialing and recredentialing processes. This position plays a critical role in supporting patient safety, regulatory compliance and operational efficiency.

Typical credentialing specialist duties:

Review and process provider credentialing and recredentialing applicationsVerify licenses, certifications, education and work history for healthcare professionalsConduct background checks and monitor compliance with accreditation standardsMaintain accurate credentialing records in databases and systemsCommunicate with providers and internal teams to resolve credentialing issuesPrepare reports and documentation for audits and regulatory reviewsEnsure compliance with federal, state and payer requirements for credentialingTrack credentialing timelines and follow up to ensure timely completion

Looking for a credentialing specialist or a credentialing specialist job?

Request candidates now and a specialized recruiter will typically contact you within one business day to discuss your staffing needs and help you hire a credentialing specialist.Search credentialing specialist openings and apply now or submit your resume to be considered for opportunities that match your experience.

Salary for Credentialing Specialist in Dallas, TX

50730 - 65835

Low
50730
The candidate is new to the role or has limited experience and is still developing core skills.
Mid
55860
The candidate has moderate experience in the role or one similar, meets most requirements and may hold transferable skills or relevant certifications.
High
65835
The candidate has extensive experience in the role, demonstrates advanced skills and often brings specialized certifications or industry experience.

Projected salaries for related positions

Job title Low Mid High Medical Coding Manager 76095 86355 98325 Certified Professional Coder 60990 70395 82365 Medical Customer Service Representative 47880 54150 60420 Insurance Authorization Specialist 46740 51585 56430 Intake/Admissions Specialist 45885 48735 53010 Patient Access/Services Specialist 43320 47880 52155 Medical Scheduler 43605 46170 49875 Medical Data Entry Specialist 41325 45600 51015 Insurance Verification Specialist 42750 48450 54150 Insurance Referral Coordinator 42180 45600 52155 Patient Registration Specialist 41895 48735 54720 Health Information Management Specialist 39615 45030 53580 Electronic Medical Records Specialist 38475 41040 44460

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