Credentialing Specialist Job at Choctaw Global, San Antonio, TX

  • Choctaw Global
  • San Antonio, TX

Job Description

Salary: $77,000 - 117,000 per year Requirements:

  • High school diploma or equivalent.
  • At least one year of healthcare credentialing experience, preferably in healthcare or government contracting.
  • Experience processing credentialing applications, conducting primary source verifications, and maintaining compliance documentation.
  • Knowledge of credentialing processes, primary source verification, regulatory compliance, healthcare accreditation standards, and credentialing best practices.
  • Proficiency with Microsoft Office and credentialing or database systems; experience with MD-Staff is highly preferred.
  • Strong attention to detail, organization, communication, accountability, time management, problem-solving, and confidentiality skills.
  • Ability to manage multiple providers, competing deadlines, and high-volume workflows while maintaining complete, accurate, audit-ready records.
  • Preferred: Associate degree in Healthcare Administration, Business Administration, or a related field.
  • Preferred: Experience with DoD, DoW, or DHA credentialing requirements and systems, or credentialing at a military treatment facility.
  • Preferred: CPCS credentialing certification, familiarity with NCQA or Joint Commission standards, or experience with additional credentialing software.
Responsibilities:
  • Manage full-cycle credentialing and re-credentialing for clinical and ancillary providers, including primary source verification of licenses, education, training, certifications, and employment history.
  • Gather, review, organize, and maintain provider credentialing files and supporting documentation in the approved MD-Staff credentialing system.
  • Conduct required screenings and verifications, including NPDB queries, sanctions checks, and background checks.
  • Prepare and submit credentialing packets to military treatment facilities and relevant governing or oversight organizations.
  • Coordinate provider privileging and appointment processes with military treatment facility personnel and other stakeholders.
  • Monitor licenses, certifications, and other credentials for expiration and ensure timely renewal.
  • Contact providers and third parties to obtain missing or incomplete information.
  • Audit credentialing files periodically to confirm accuracy, completeness, and compliance.
  • Collect, analyze, and report credentialing data and compliance metrics; prepare status, timeline, and compliance reports for stakeholders.
  • Identify process improvements and recommend changes as appropriate.
  • Stay current with credentialing requirements, regulations, standards, and best practices, and perform other assigned duties.
Technologies:
  • Support

More:

We are Choctaw Advantage Solutions (CAS), and we are seeking a part-time Credentialing Specialist to support the Department of the Air Force Family Advocacy Program. This is a contract role averaging 15 to 25 hours per week, with hours not to exceed 30 per week. Our team supports programs serving Service Members and their families, with a focus on quality, compliance, and exceptional service. The position offers an opportunity to apply healthcare credentialing expertise in support of the program as part of a professional team.

last updated 40 week of 2026

Job Tags

Contract work, Part time, Work at office

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