New 
Credentialing Specialist
 Parkland Health and Hospital System (PHHS) | |
 United States, Texas, Dallas | |
| 5201 Harry Hines Boulevard (Show on map) | |
 Jan 08, 2026 | |
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Primary Purpose
Credentialing Specialist supports the credentialing program that implements federal, state and local regulatory and TJC/NCQA accreditation requirements. Ensures that all practitioners are evaluated and credentialed upon application to Membership and/or Privileges to Parkland Health & Hospital System Medical Staff or non-medical staff. Gathers, analyzes, and report provider data for the provider directory, ongoing reviews, billing needs, and member support. Communicates with practitioners and practitioner groups to answer their questions and concerns or direct to the proper department. Assists with oversight audits of Practitioners. MINIMUM SPECIFICATIONS Education - High School diploma Experience - One (1) year of experience in Medical Staff Services or a related field. Certification/Registration/Licensure - Prefer certification by the National Association Medical Staff Services (NAMSS). Skills or Special Abilities - Working knowledge of general office practices and software applications (MS Office) and database management. - Working knowledge of database credentialing software; MD STAFF preferred. - Maintains data base upkeep. - Demonstrated understanding of credentialing policies and procedures and training program requirements, as well as accreditation and regulatory requirements relating to the medical staff, specifically Joint Commission and NCQA. - Organizational skills required to handle voluminous influx of credentialing applications and to prioritize tasks in order to work efficiently and meet cyclical and multiple deadlines. - Ability to manage demanding workload; self-motivated; able to carry out responsibilities with minimum supervision. - Analytical skills necessary to determine whether correct and complete information was provided on applications. Meticulous attention to detail. - Interacts with diverse groups of people within the Health System and with outside agencies. - Adheres to professional confidentiality standards in accordance with legal, ethical, and departmental policies. - Handles sensitive and confidential situations/information, with a high degree of tact and diplomacy. - Effective interpersonal skills and demonstrated written and verbal communication skills are necessary to interact with providers and both external and internal customers. - Skilled in interpreting, analyzing, and providing recommendations regarding data accuracy and data collection needs and processes. - Excellent planning, organization, time management, and documentation skills. - Ability to produce a top-quality work-product in a remote environment. Responsibilities 1. Builds and maintains relationships with internal, and external credentialing partners including physicians and hospital leadership. 2. Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Complies with governmental and accreditation regulations. 3. Gather and perform detailed and thorough review of the information used to submit applications 4. May conduct primary source verification for initial/re-credentialing applications in accordance with defined workflows and established policies and procedures. 5. Ensures discrepancies are addressed promptly and the proper follow-ups are completed in a timely manner 6. Responsible for the follow-up on missing data and/or discrepancies in accordance with established time frames and based on knowledge of general credential processes and needs of clinical assignment. 7. As responses to queries received and information entered in database, compares information received with information provided by applicant to ensure accuracy and completeness. 8. Imports all applications from the online application portal in accordance with policy for data standardization. 9. Maintains integrity of the credentialing database and all practitioner records. Utilizes appropriate database tracking reports to ensure accuracy and thoroughness of imported data as well as data that may be entered manually. 10. Serves as a liaison with MSH affiliates and their medical staff administration departments, MMG and MFC, which includes providing effective and timely communication as the status of the application and any issues that may be identified. 11. This position is 100% Virtual. Virtual employees must also comply with all Parkland policies and procedures governing the use of Parkland information resources. Virtual employees must maintain all equipment lent by Parkland for performing the agreed upon job duties in good working condition. All employment responsibilities and conditions in applicable Parkland policies and procedures apply to employees while working virtually. 12. Other duties as assigned. Requisition ID: 985085 | |