Our client, a Healthcare company, is looking for a Credentialing Coordinator for their Farmers Branch, TX/Remote location. Responsibilities:

+ The Credentialing Coordinator role will be responsible on ensuring compliance with NCQA, URAC, Medicare, Medicaid, Delegation agreements and other pertinent client requirements, policies and procedures, client health plan contracts, URAC guidelines and applicable state and federal requirements.

+ Verifying State Licenses, exclusions lists, DEA’s, Board Certifications and Medicaid/Medicare Enrollment Verifications on an ongoing basis to ensure qualified and approved clinicians remain active in the network.

+ Enrolling clinicians in Medicare and Medicaid following state and federal guidelines

+ Applying for state licensure for clinicians

+ She/He will maintain strong cross-departmental relationships with Recruiting, Production, and Education This role will report to our Supervisor of the Crede...