Credentialing Specialist
Therapy and Beyond Tulsa
Company Description Therapy & Beyond is one of the largest BCBA-owned ABA organizations, founded and led by Dr. Regina Crone, BCBA-D. Through a collaborative, interdisciplinary approach to care, we partner with experts in Applied Behavior Analysis (ABA), Speech-Language Pathology, and Occupational Therapy. Our mission is rooted in four core values: Putting People First, Doing Our Best Together, Making Therapy Fun, and Above All—We Grow Potential! Job Description We are seeking a detail-oriented Credentialing Specialist to serve as a vital component of our home office team. This role will be responsible for obtaining, verifying, and maintaining the credentials, licensure, and insurance coverage for our clinical staff in Texas and Oklahoma. By ensuring accurate and timely credentialing, you will directly support the revenue cycle, minimize billing disruptions, and ensure our providers are able to serve their communities. Key Responsibilities Database Management: Create and maintain comprehensive digital records of provider licensing, credentials, and malpractice insurance. Manage provider profiles in industry databases (e.g., CAQH, PECOS, NPPES) with high accuracy. Proactive Compliance: Monitor expiration dates for licenses, DEA certificates, board certifications, and insurance policies. Issue "renew by" notifications to staff and management well in advance to prevent coverage lapses. Verification Liaison: Act as the primary point of contact for external agencies, hospitals, and commercial payers requesting verification of provider information. Regulatory Research: Stay current on updated state, federal, and payer-specific regulations (including NCQA and CMS standards) to ensure organizational policies remain compliant. Process Optimization: Assist in developing and revising internal credentialing Standard Operating Procedures (SOPs) to improve workflow efficiency and data integrity. Audit Readiness: Ensure the facility and all staff members maintain continuous compliance to ensure readiness for internal or external audits at any time. Qualifications Required: High School Diploma or GED. Bachelor’s degree or college coursework in Health Administration, Business, or a related field. Preferred: Minimum of 2 years of experience in medical billing, credentialing, provider enrollment, or medical office administration. Proficiency with provider enrollment platforms (Medicare, Medicaid, Commercial Payers). Strong knowledge of medical credentialing policies, healthcare regulations, and accreditation standards. Exceptional accuracy in data entry and document verification. Communicator: Strong verbal and written communication skills, with the ability to speak professionally with clinicians and insurance representatives. Organizer: Ability to meet strict deadlines and prioritize tasks in a fast-paced environment without compromising quality. Team Player: Willingness to collaborate with the billing and authorization teams while possessing the self-discipline to work independently. Additional Information All your information will be kept confidential according to EEO guidelines. #J-18808-Ljbffr
- ...Title: Credentialing SpecialistLocation: 2537 Golden Bear Dr, Carrollton, TX 75006Schedule: Full‑time role with standard business hoursReports... ...more employee perks and benefitsJob SummaryThe Credentialing Specialist manages the full lifecycle of provider and facility...SuggestedFull timeWork at office
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$15 - $20 per hour
...schedule, facility, season, or specific work performed. Multiple premiums may apply if applicable criteria are met. The Delivery Specialist will maintain and operate store vehicles to deliver parts and/or products to professional customers in a safe and efficient manner...Hourly payMinimum wageLocal areaImmediate startFlexible hours- ...The Delivery Specialist will maintain and operate store vehicles to deliver parts and/or products to professional customers in a safe and efficient manner. This position will also collect money on C.O.D. deliveries and pick up customer returns. Bilingual candidates encouraged...Local areaImmediate startFlexible hours
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...consultations. We understand the importance of advancing your credentials, and programs are in place to help you achieve goals such as... ...corporate grind? Mission Pet Health is looking for a motivated Specialist to spearhead our Internal Medicine service. This isn’t just a...Full timeTemporary work- ...Dormont Manufacturing Co is seeking a Delivery Specialist based in Bartonville, Texas. This role involves maintaining and operating store vehicles to deliver parts and products efficiently, along with collecting payments on deliveries and handling customer returns. The...Hourly pay
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$20.4 - $25.5 per hour
...Front Office Specialist Design a career and build your future... Because it matters! McMillen, Inc. is seeking an organized and detail-oriented Front Office Specialist to join our team on a full-time basis. The ideal candidate will provide essential front desk services...Full timePart timeWork at officeVisa sponsorshipMonday to FridayFlexible hours- ...Belk Selling Specialist The Belk Selling Specialist delivers a positive customer experience by serving as the subject matter expert in a dedicated department or key selling area and maintaining presentations aligned with brand standards. This role drives sales and...Hourly payFull timeFlexible hoursNight shift
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1632 Safety and Facilities - Safety & Facilities Specialist 1632 Safety and Facilities - Safety & Facilities Specialist 1 week ago Be among... ...Professional Certification: Professional safety or facility credential such as Certified Safety Professional (CSP), Certified...Full timeWork at officeLocal areaImmediate startAfternoon shift- Gold's Gym in Flower Mound, Texas, seeks a Front Desk Team Member responsible for greeting and directing members and guests, managing front desk operations, and ensuring a positive experience. The role includes checking members in, handling guest inquiries, assisting with...
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...disability, contact this employer to ask for an accommodation or an alternative application process. Permitting & Regulatory Compliance Specialist II Full Time Bellevue, WA, US 7 days ago Requisition ID: 1453 Salary Range: $35.00 To $45.00 Hourly At Core States Group, the...Hourly payFull timeWork at officeImmediate startRemote workFlexible hours
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