Credentialing Specialist

Employment Type: Contract (3–4 months, potential conversion)

Work Arrangement: 100% Onsite – Not Remote

Schedule: Monday – Friday, 8:00 AM – 5:00 PM

Pay Rate: $30 – $33.65 per hour

Wheeler Staffing Partners is seeking an experienced Credentialing Specialist for a contract opportunity with the potential to convert to a permanent role. This role will be fully onsite in Dallas, TX, and will focus on provider credentialing, enrollment, and database management to support compliance and ensure timely provider onboarding.

• Collaborate with the local market onboarding team on all new providers in the pipeline.
• Request credentialing data and supporting documents from physicians; communicate delays that may impact project timelines.
• Prepare and update providers’ CAQH applications for initial credentialing and recredentialing.
• Build and maintain peer-to-peer relationships with relevant market and national health plans.
• Communicate newly affiliated providers to plans for TIN changes, demographic updates, or credentialing initiation.
• Establish credentialed status to facilitate billing across multiple specialties.
• Maintain and update credentialing databases to ensure accurate tracking of files and processes.
• Execute all standard operating procedures (SOPs) and communicate issues, trends, and concerns to the Regional Supervisor.
• Identify opportunities for process improvement and work with leadership to streamline workflows.
• Ensure workflow items are completed within required turnaround times while meeting quality standards.
• Resolve issues related to billing and collections; educate internal markets on contractual obligations and payor requirements.
• Provide credentialing information to Market Operations to support practice management.
• Maintain knowledge of NCQA standards, delegated credentialing, and Primary Source Verification.

• Minimum of 4 years of experience in managed care, a centralized credentialing office, or a related healthcare environment (credentialing or file maintenance).
• Knowledge of health plan credentialing, governmental payer enrollment (Medicare and Medicaid, multi-state), and related requirements.
• Experience with CAQH applications and credentialing workflows.
• Familiarity with contract language interpretation and administration.
• Strong skills in Microsoft Excel (required), Microsoft 365 (Word, PowerPoint, Outlook), and credentialing databases. Salesforce experience is a plus.
• Proven ability to work within deadline-driven environments.
• Excellent communication, problem-solving, and customer service skills.
• High School Diploma required; vocational or technical training preferred.

• Roster management and reporting experience.
• Experience navigating government portals for Medicare and Medicaid enrollment.
• Strong attention to detail, organizational skills, and ability to manage confidential information.

At Wheeler Staffing Partners, we connect skilled professionals with opportunities to grow their careers. Our recruiters provide:

• Direct access to top healthcare employers.
• Guidance throughout the hiring process.
• A streamlined application experience.