Credentialing Coordinator

Overview

Credentialing Coordinator (Select Physical Therapy)

Credentialing Verification Organization - Plano, TX

Full Time | Hybrid | Supporting our Outpatient Division

Starting Pay Rate - $17/hour (based on experience)

Credentialing OP Division

3801 15th Street

Building A, Suite A300

Plano TX 75075

Monday–Friday | 7:30 am - 4:30 pm (CT)

• Diverse and comprehensive benefits package
• Accruable Paid Time Off (PTO)
• Paid holidays
• 401(k) with company match
• Health, dental, vision, and life insurance
• Short- and long-term disability
• Extended Illness Days (EID)
• Personal and family medical leave
• Access to campus walking trails and outdoor rest areas
• Thorough orientation and strong cross‑department collaboration opportunities

Select Medical is seeking a detail‑oriented Credentialing Coordinator to support our Credentialing Manager with the full credentialing and re‑credentialing process for providers across our outpatient facilities. This role plays a key part in ensuring compliance, accuracy, and smooth onboarding of practitioners.

• You enjoy working behind the scenes in healthcare operations
• You want to continue your career in provider credentialing or another related healthcare role
• You thrive in collaborative, innovative team environments
• You want to work for an organization devoted to helping others

If so, this could be an excellent opportunity for you!

Conducts credentialing and re-credentialing in compliance with NCQA and HIPAA standards for internal and external clinicians. Research and obtain verifications of practitioners’ credentials to complete internal and external credentialing requirements.

• Manage state-specific credentialing activities for providers in our outpatient facilities.
• Prepare and process all credentialing documentation.
• Update and maintain current and accurate practitioner files and database.
• Track and report practitioner changes to appropriate parties.
• Communicate with practitioners, data banks, state licensing and regulatory bodies, educational programs, health plans, and other company divisions.
• Coordinate with health plans to provide practitioner credentialing documentation as required.
• Participate in activities associated with health plan site audits and Credentialing Committee meetings.
• Coordinate training and educational requirements for credentialing staff.
• Provide routine updates and status reports for health plans and other divisions within the company.
• Maintain confidentiality of practitioner information.
• Collaborate with team members to support process improvement and the development of policies and procedures.
• Coordinated efforts with other credentialing and Managed Care personnel.
• Troubleshoot with internal business operations and Managed Care contracting to resolve accounts receivable delays due to credentialing issues.
• Participate in the development and coordination of departmental CQI initiatives. Perform other duties as assigned.

• At least 2 years of experience in provider credentialing or other related healthcare field
• Proficient in Windows (Word, Excel, and Access).
• Ability to be professionally assertive with internal and external partners to be influential in finding resolutions.
• Strong oral and written communication skills with the ability to interact professionally and positively within all levels of the organization.
• Detail-oriented with good organizational skills and the ability to maintain accuracy while meeting deadlines and production requirements.
• Excellent interpersonal skills and commitment to quality improvement.
• Professional with the ability to work well independently as well as collaboratively with a team.

• Prior credentialing experience.
• Knowledge of credentialing processes, terminology, and NCQA standards.
• Strong analytical skills, including process improvement and problem resolution.

Select Medical values work‑life balance and strives to offer a supportive, fulfilling workplace. Our employees enjoy meaningful careers complemented by benefits and programs that support their well‑being both inside and outside the workplace.

Equal Opportunity Employer/including Disabled/Veterans