Credentials Liaison Specialist in Plano, Texas at Bracane Co

We are hiring candidates for Madea Home Care Services, LLC

Administration / Human Resources / Compliance

Position Summary

Will oversee and manage all credentialing, compliance, verification, and onboarding activities for clinical and non-clinical personnel at Madea Home Care Services. This position ensures that nurses, home health aides, caregivers, contractors, and organizational vendors meet all regulatory, payer, licensing, and contractual requirements prior to providing services.

The Credentials Specialist serves as the central point of coordination for employment background checks, drug screening, license and certification verification, payer enrollment, EVV compliance, HIPAA compliance, and vendor registrations with healthcare facilities, hospitals, and government agencies.

This role is critical to maintaining organizational compliance with Texas HHSC, CMS, Medicare, Medicaid, VA/Tricare, HIPAA, and other federal, state, and local regulatory standards.

Essential Duties & Responsibilities Credentialing & Compliance Oversight

• Manage and oversee all credentialing activities for:
• Registered Nurses (RNs)
• Licensed Vocational Nurses (LVNs)
• Home Health Aides (HHAs)
• Certified Nursing Assistants (CNAs)
• Personal Caregivers
• Contractors and agency representatives

Verify and maintain:

• Professional licenses
• Certifications
• CPR credentials
• Insurance documentation
• Continuing education requirements

Drug Screening Coordination

Payer & Insurance Credentialing

Commercial insurance plans

Private pay programs

EVV & HIPAA Compliance

Monitor EVV exceptions and reporting requirements

Vendor Registration & Contract Compliance

Client Intake & Referral Coordination

Assist with client intake and referral coordination processes

Assist with verification of payer eligibility and authorization status for services

Maintain communication with referral sources and families regarding onboarding status and service coordination

Support continuity of care by ensuring referrals are transitioned efficiently into active service cases

Maintain accurate intake and referral tracking logs for compliance, reporting, and audit purposes

Documentation & Record Management

Maintain accurate and organized credentialing files

Monitor expiration dates and renewal requirements

Prepare documentation for:

Surveys

Audits

Accreditation reviews

Regulatory inspections

Maintain credentialing dashboards and compliance tracking systems

Qualifications Education

Associate’s or Bachelor’s degree in:

Healthcare Administration

Business Administration

Human Resources

Nursing

Related field preferred

Experience

Minimum 3–5 years of experience in:

Healthcare credentialing

Home health administration

Compliance management

Payer enrollment

Regulatory coordination

Experience with:

Medicare/Medicaid enrollment

EVV systems

HIPAA compliance

Vendor registration platforms

Knowledge, Skills & Abilities

Strong knowledge of:

Texas HHSC regulations

CMS requirements

HIPAA compliance

Credentialing standards

Excellent organizational and documentation skills

Ability to manage multiple deadlines and compliance requirements

Strong communication and problem-solving abilities

Proficiency with:

Credentialing databases

Microsoft Office

EVV systems

Electronic health records (EHR)

Compliance Expectations

The Credentials Manager is expected to:

Maintain confidentiality at all times

Adhere to Madea Home Care Services policies and procedures

Support survey readiness and audit preparedness

Promote ethical and compliant operational practices

Physical Requirements

Prolonged sitting and computer use

Ability to communicate effectively with staff and external agencies

Occasional travel for meetings or credentialing support, if required