Serenity Healthcare · 12 hours ago
Credentialing Manager
DFW Metroplex
Full-time
Onsite
Mid, Senior Level
3+ years expSerenity Healthcare is dedicated to providing long-term success for patients and is seeking a Credentialing Manager to oversee the credentialing and re-credentialing processes for behavioral health providers. The role involves ensuring compliance with licensing, accreditation, and regulatory requirements while maintaining accurate provider records and collaborating with healthcare professionals and regulatory bodies.
Mental Health Care
Responsibilities
Oversee the complete credentialing process for behavioral health providers, including physicians, therapists, counselors, and other clinical staff
Ensure all new providers are credentialed accurately and efficiently, ensuring compliance with local, state, and federal regulations
Manage and track re-credentialing for all providers, ensuring timely submission of documents and approvals to maintain active status with insurance networks
Review and verify provider licensure, certifications, and other relevant credentials to ensure compliance with the company's policies and applicable regulations
Develop and maintain strong relationships with external agencies, regulatory bodies, and insurance payers to facilitate the credentialing process
Assist with any audits and compliance checks related to credentialing and licensing
Maintain accurate and up-to-date provider records and databases, ensuring that documentation is complete and easily accessible for regulatory or operational needs
Collaborate with HR, billing, and operations teams to ensure smooth integration of credentialed providers into the organization
Stay current with changes in federal and state regulations related to credentialing and provider accreditation
Provide guidance and support to internal teams and providers regarding credentialing requirements and timelines
Prepare and submit reports on credentialing status to senior leadership as requested
Manage the ongoing monitoring of provider status, including expiring certifications, licenses, and insurance agreements
Qualification
Required
Bachelor's degree in healthcare administration, business, or a related field; or equivalent work experience in credentialing, compliance, or healthcare operations
Experience with behavioral health providers and understanding of behavioral health-specific credentialing needs
Minimum of 3-5 years of experience in credentialing within the healthcare or behavioral health field, with a focus on provider enrollment and insurance network management
Knowledge of regulatory requirements for healthcare providers and experience with industry standards for credentialing and re-credentialing
Strong understanding of the credentialing software and databases
Ability to maintain confidentiality and handle sensitive information
Excellent organizational skills and attention to detail
Strong written and verbal communication skills
Ability to manage multiple tasks and priorities in a fast-paced environment
Benefits
Medical, Dental and Vision Insurance
Life Insurance
401k
Paid Time off
10 Major Holidays Off
Company
Serenity Healthcare
At Serenity Mental Health Centers, we understand the challenges of living with mental health conditions and our compassionate, experienced team of medical professionals is here to support your path to wellness every step of the way.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Azfar Malik
CEO & President
David Cody Gally
Physician Liaison || Partnerships & Consulting
Recent News
Digital Journal
2025-07-31
2025-02-25
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