Senior Credentialing Coordinator

Title: Senior Credentialing Coordinator

Employee Classification: Sr. Credentialing Coordinator

Campus: University of North Texas - Health Science Center

Division: HSC-Health Systems

SubDivision-Department: HSC-Health Systems & Clinical Aff

Department: HSC-HSC Health Administration-335001

Job Location: Fort Worth

Salary: Commsumerate with experience

FTE: 1.000000

Retirement Eligibility: TRS Eligible

About Us - Values Overview

Department Summary

UNT Health is the clinical practice group of UNT Health Fort Worth, offering primary and multispecialty care dedicated to building healthier communities. Our services span the Fort Worth campus, Denton, and Dallas, and include mobile, in-home, hospital, and long-term care.

We utilize interprofessional teams, where physicians, advanced practice practitioners, therapists, pharmacists, and specialized staff work collaboratively.

We intentionally integrate healthcare students, residents, and fellows into care delivery at select practice locations, fostering the development of future health professionals while optimizing patient treatment plans.

Position Overview

This position is responsible for managing the complete lifecycle of clinical staff credentialing, including both initial credentialing for new hires and recredentialing for existing providers.

Key responsibilities include collecting, verifying, and maintaining essential provider documents such as licenses, certifications, insurance coverage, and professional references. The Sr. Credentialing Coordinator ensures that all credentialing files meet strict standards set by regulatory bodies (e.g., NCQA, CMS) and organizational policies. This role requires strong organizational skills, attention to detail, and a thorough understanding of compliance requirements to ensure clinical staff are ready to practice without delay and that the practice clinicians remain in good standing.

Minimum Qualifications

Bachelor's degree and three (3) year of related experience; or any equivalent combination of education and experience.

Knowledge, Skills and Abilities

• Knowledge of primary source verification processes, including utilizing tools like the National Practitioner Data Bank (NPDB), state licensing boards, and education verification services.
• The ability to read, interpret, and effectively apply complex policies, procedures, and regulatory guidelines to the credentialing workflow.
• High proficiency in data entry and managing large volumes of detailed information with a focus on meticulous accuracy and integrity.
• Superior ability to organize, prioritize, and track multiple complex provider files simultaneously to meet strict deadlines.

Preferred Qualifications

• Related experience; or equivalent combination of education and experience. Previous experience with provider credentialing processes, Payer enrollment processes and procedures.
• Medicred Software Experience preferred.

Job Duties

• Will perform data collection, and all Primary Source Verification for initial credentialing and recredentialing of UNT Health Clinicians.
•  Communicate with providers and department liaisons to complete the credentials verification within providers start dates and meet deadlines.
• Maintain credentialing databases by ensuring data is entered accurately and in timely manner. Utilizes credentialing resources and other software as required to maintain expiration dates of provider licenses, board certs, certifications, etc.
• May perform Managed Care enrollment with payer plans. Ensures that provider enrollment applications are processed in a timely manner. 
• May prepare and present clinician files for the UNT Health Credentialing Committee, and other support activities of the Credentialing Committee. 

Physical Requirements

• Repeating motions that may include the wrists, hands and/or fingers.
• Sedentary work that primarily involves sitting/standing.
• Moving about to accomplish tasks or moving from one worksite to another.
• Lifting and Moving objects up to 20 pounds.
• Communicating with others to exchange information.

Environmental Hazards

• Exposure to fumes or airborne particles.

Work Schedule

8-5 Monday through Friday

Driving University Vehicle

No

Security Sensitive

This is a Security Sensitive Position.

Special Instructions

Applicants must submit a minimum of two professional references as part of their application. If needed, additional references can be added after the application has been submitted. 

Benefits

For information regarding our Benefits, click here.

EEO Statement

The University of North Texas System is firmly committed to equal opportunity and does not permit -- and takes actions to prevent -- discrimination, harassment (including sexual violence, domestic violence, dating violence and stalking) and retaliation on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status in its application, employment practices and facilities; nor permits race, color, national origin, religion, age, disability, veteran status, or sex discrimination and harassment in its admissions processes, and educational programs and activities, facilities and employment practices. The University of North Texas System promptly investigates complaints of discrimination, harassment and related retaliation and takes remedial action when appropriate. The University of North Texas System also takes actions to prevent retaliation against individuals who oppose any form of harassment or discriminatory practice, file a charge or report, or testify, assist or participate in an investigative proceeding or hearing.