Credentialing Coordinator

Location: Fort Worth, Texas; work is performed in person in a clinic or office setting

Company

hirify.global operates The Center for Cancer and Blood Disorders, providing cancer treatment and clinical research services across North Texas.

What you will do

• Manage initial credentialing and recredentialing applications for healthcare professionals with payers and hospitals.
• Collect and verify licensing, board certification, liability insurance, and other primary-source documentation.
• Prepare and maintain Texas Standardized Credentialing Applications, CAQH, Availity, NPPES, PECOS, and Texas Medicaid applications.
• Maintain credentialing databases, provider files, rosters, and plan participation records.
• Collaborate with payer representatives, providers, medical staff, billing, scheduling, and internal departments to resolve enrollment discrepancies, claim rejections, and denials.
• Track continuing education credits, monitor regulatory requirements, and comply with HIPAA privacy regulations.

Requirements

• At least two years of credentialing experience with a large provider practice or hospital system.
• Experience with both group and individual provider credentialing.
• Experience credentialing major payers, including Medicare, Medicaid, TRICARE, BCBS, Aetna, Cigna, and Humana.
• Knowledge of state-specific and payer-specific credentialing guidelines.
• Proficiency with computer systems and Microsoft Office, including Word and Excel.
• Strong organization, communication, confidentiality, accuracy, and multitasking skills.

Culture & Benefits

• Full-time employment with opportunities for professional growth and development.
• Health, dental, vision, life, disability, and AD&D insurance.
• 401(k), flexible spending account, and paid time off.
• Free parking.
• Primarily office- or clinic-based work with normal sitting and standing requirements.