Provider Credentialing Specialist

Job Description
TriumpHealth is a third-party medical company who helps medical practices and hospitals achieve their financial goals. We are seeking a Provider Credentialing Specialist to join our team in our Southlake location.

Job Responsibilities
Provider Credentialing Specialist will have the following job responsibilities:

  • Maintain credentialing database and ensure up to date tracking of application process
  • Track and follow up with providers for timely return of all required documents and applications
  • Prepare, review and submit government, commercial and private payer applications online and manually
  • Ensure that workflow items are completed with the set turnaround time, while meeting quality expectations
  • Facilitate commercial and governmental payer credentialing and enrollment for multiple specialty providers and facility types
  • Work with MD’s, DO’s, Dentists, PT’s, NP’s, PA’s, Lab’s and DME’s for their credentialing
  • Perform other duties as assigned

Job Requirements

  • Minimum of three (3) years’ experience working in the provider credentialing
  • Knowledge of government, private and commercial payer credentialing guidelines required
  • Knowledge of CAQH applications with ability to prepare for newly affiliated and existing healthcare providers
  • Knowledge of correct requirements for 837, 835 and ANSI file formats
  • Extremely proficient in Microsoft Excel and database management
  • Detail-oriented with the ability to handle and prioritize multiple tasks
  • Excellent oral and written communication skills
  • Have a positive attitude

Please send your resume to to apply for open position.