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viva

Credentialing Coordinator

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Job Description

Credentialing Coordinator viva - 3.8 Farmers Branch, TX Job Details $16.20 - $18.20 an hour 23 hours ago Qualifications Provider enrollment for medical credentialing High school diploma or
GED Full Job Description Position Summary:
The Network Activation Credentialing Specialist supports network operations, compliance monitoring, and provider data integrity. The role ensures network providers comply with company, state, and regulatory body requirements, including NCQA, URAC, Medicare, Medicaid, and delegation agreements, by reviewing, validating, and analyzing provider information. The Credentialing Specialist also drives process improvements, handles stakeholder inquiries, and provides administrative and operational support to meet departmental needs.
Roles & Responsibilities:
Support diverse network activation projects and operations to ensure department-wide compliance and efficiency. Manage clinician enrollment, state licensure applications, and renewals according to state and federal guidelines. Ensure strict adherence to business, state, and accrediting body regulatory requirements, including NCQA, URAC, Medicare, Medicaid, and delegation agreements. Maintains data tracking and facilitates provider data integrity across organizational units. Prepare education and training materials on Network Activation policies, procedures, and quality standards, and conduct training to enforce standards. Drive process improvement initiatives, manage stakeholder inquiries, and execute administrative and operational support to accommodate flexible departmental needs.
Required Qualifications:
3-5 years of successful work experience in a Network Activation or credentialing/Licensing role
Preferred Qualifications:
NAMSS Certification as a Certified Provider Credentialing Specialist (CPCS) within 2 years of eligibility to certify. Intermediate skills in Google Suite Applications such as
Gmail, Google Calendar, Google Sheets and Slide Presentations Education:
High School Diploma Experience & Skills:
Preferred Experience:
1-3 years Credentialing or licensure experience highly preferred Top 3
Non-Negotiables:
Ability to verify licensure and education Experience filling out applications Strong attention to detail and admin skills
Notes:
Work Schedule:
Flexible shifts between 7:00 AM - 5:00 PM CST Options for 30-minute or 1-hour lunch breaks Must work CST hours regardless of time zone VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status

Benefits

  • Dental Insurance