Credentialing Specialist 1 - Remote, TX

Credentialing Specialist I

Location: Remote - Texas

Pay Rate: Starting at $18.00/hour

Schedule: Monday-Friday | 8:00 AM - 5:00 PM CST

Dean's Professional Services is seeking a detail-oriented and organized Credentialing Specialist I to join a high-performing healthcare operations team. This fully remote opportunity is ideal for professionals with experience in credentialing, provider enrollment, healthcare administration, or managed care who thrive in a fast-paced, production-focused environment. In this role, you will support provider credentialing and recredentialing activities while ensuring compliance with NCQA standards and organizational policies.

Responsibilities

• Perform credentialing and recredentialing activities in accordance with NCQA standards, organizational policies, and health plan requirements.

   

• Process, review, track, and maintain provider credentialing applications while meeting established quality and turnaround standards.

   

• Communicate professionally with physicians, provider offices, office managers, and third-party organizations to obtain required credentialing documentation.

   

• Verify provider credentials, licenses, certifications, and other required information to ensure complete and compliant provider files.

   

• Prepare documentation and supporting materials for Credentialing Committee meetings.

   

• Generate, review, and maintain reports to support credentialing operations and business functions.

   

• Maintain accurate provider records within credentialing databases and ensure timely updates.

   

• Collaborate with internal departments to support provider onboarding, recredentialing, and ongoing compliance activities.

   

• Prioritize multiple assignments while maintaining accuracy, productivity, and attention to detail in a fast-paced environment.

   

• Perform additional credentialing and healthcare operations duties as assigned.

   

Qualifications

• High School Diploma or GED required; Associate degree preferred.

   

• Minimum of 1 year of experience in credentialing, provider data management, healthcare operations, medical office administration, claims processing, billing, provider relations, contracting, or customer service.

   

• Managed care or health insurance experience preferred.

   

• Knowledge of credentialing processes and NCQA standards preferred.

   

• Proficiency with Microsoft Office applications and credentialing or provider database systems.

   

• Strong organizational, analytical, and data entry skills with exceptional attention to detail.

   

• Excellent verbal and written communication skills.

   

• Ability to work independently in a remote, production-driven environment while meeting deadlines.

   

Why Join Dean's Professional Services?

• Competitive pay
  

   

• Comprehensive benefits package including medical, dental, vision, and 401(k)

   

• Fully remote position with a consistent weekday schedule supporting work-life balance

   

• Opportunity to support provider credentialing and improve access to quality healthcare services

   

• Collaborative, supportive, and mission-driven team environment

   

• Long-term opportunity with career growth potential

   

Dean's Professional Services is a national, award-winning staffing firm. Since 1993, we have connected over 50,000 healthcare professionals with leading organizations across the country by matching exceptional talent with rewarding career opportunities.

Apply today at www.deansprofessionalservices.com or call 713-785-7483 for more information.

Healthcare Staffing | Dean's Professional Services | United States Dean's Professional Services is a national, award-winning staffing firm providing temporary, temp-to-hire, and direct hire solutions across healthcare and professional industries.