Senior Credentialing Specialist Healthcare

Location Monterrey, Reciente León
Employment Type Fulltime

We are expanding our operations in Mexico
At One Call, we are expanding our operations in Mexico and are looking for talented professionals to join our growing team supporting healthcare operations in the United States.
We are currently seeking a Senior Credentialing Specialist to support the credentialing and recredentialing of healthcare providers and help ensure our provider network meets established quality, regulatory, and accreditation standards.
If you have strong experience in healthcare credentialing, enjoy working with detailed documentation and compliance requirements, and are comfortable managing multiple priorities, we would love to hear from you.

What will you do
As a Senior Credentialing Specialist, you will manage and support credentialing activities throughout the provider lifecycle, ensuring applications, documentation, verifications, and provider records are complete, accurate, and compliant.

Your responsibilities will include
Manage initial credentialing and recredentialing applications for healthcare providers.
Review provider applications and supporting documentation for completeness, accuracy, and compliance.
Conduct and document Primary Source Verification PSV of provider credentials.
Verify licenses, certifications, registrations, professional liability insurance, and other required credentials.
Monitor provider credential expirations and proactively initiate renewal and recredentialing activities.
Follow up directly with providers and applicants to obtain missing, incomplete, or expired documentation.
Maintain accurate and uptodate provider credentialing records and electronic files.
Track application status, deadlines, turnaround times, and servicelevel expectations.
Ensure provider files are organized and prepared for internal review and approval.
Support credentialing audits, regulatory reviews, accreditation activities, corrective action plans, and special projects.




Monitor and document compliance with applicable credentialing policies and regulatory requirements.
Maintain working knowledge of applicable healthcare accreditation and regulatory standards.
Support delegated credentialing and network management activities when applicable.
Review provider data and credentialing records to identify discrepancies, compliance risks, or areas for improvement.
Maintain accurate information across credentialing databases, Salesforce, legacy systems, and other assigned platforms.
Respond to provider, client, and internal stakeholder inquiries regarding credentialing status and requirements.
Prepare credentialingrelated communications, notifications, and documentation as required.
Participate in process improvement initiatives designed to improve quality, compliance, efficiency, and turnaround times.
Assist with training, onboarding, and mentoring of less experienced team members when needed.
Handle escalated or complex credentialing cases using independent judgment and appropriate escalation channels.
Maintain confidentiality when handling sensitive provider and healthcare information.
We are looking for a highly organized and detailoriented professional with solid experience in healthcare provider credentialing.
The ideal candidate will have
5 years of progressive experience in provider credentialing, healthcare enrollment, medical staff services, provider data management, or a closely related healthcare function.
Strong experience with initial credentialing and recredentialing.
Handson experience with Primary Source Verification PSV.
Knowledge of provider licensing, certifications, registrations, professional liability insurance, and credential expiration processes.




Knowledge of healthcare accreditation and regulatory standards such as NCQA, URAC, CMS, and applicable state and federal requirements.
Experience supporting credentialing audits, compliance reviews, or accreditation activities.
Experience working with credentialing databases and healthcare information systems.
Experience with Salesforce or similar systems is a plus.
Strong analytical and problemsolving skills.
Excellent attention to detail and documentation skills.
Strong organizational and timemanagement skills.
Ability to manage multiple providers, applications, deadlines, and projects simultaneously.
Strong written and verbal communication skills.
Ability to communicate professionally with healthcare providers, clients, and internal stakeholders.
Ability to work independently and exercise sound judgment when handling complex cases.
Strong Microsoft Office skills, particularly Excel, Word, Outlook, and PowerPoint.
Advanced English communication skills, both written and verbal.
Education
High school diploma or equivalent required.
Associates degree or coursework in Healthcare Administration, Business Administration, Medical Administration, or a related field is preferred.
CPCS certification or equivalent credentialing certification is a plus.
Why join OneCall
Join us as we continue expanding our operations in Mexico. You will have the opportunity to work with U.S. healthcare operations, collaborate with teams across the organization, and contribute to the quality and compliance of our provider network.
If you have experience in healthcare credentialing and are looking for an opportunity to grow with a global organization, we would love to hear from you.
Apply today and become part of the One Call team
Bolsa de trabajo México ofrecemos puesto de Senior Credentialing Specialist Healthcare para el sector de Medicina Salud en la empresa CXCENTRODECONTACTO de Monterrey. Salario acorde a tu experiencia y al salario medio del sector. Actualiza ahora tu currículum vitae y postúlate a este empleo. Tipo de empleo Tiempo Completo.

📌 Senior Credentialing Specialist Healthcare (Monterrey)
🏢 CXCENTRODECONTACTO
📍 Monterrey