Certified Provider Credentialing Specialist

Healthcare Support Staffing; Austin (TX); On-site; USD 60,000 - 80,000; Full time

Job summary

A healthcare organization in Austin, Texas seeks a Certified Provider Credentialing Specialist. This role involves maintaining compliance with regulatory standards, credentialing healthcare practitioners, and supporting the development of credentialing processes. The ideal candidate must have a CPCS certification and experience in credentialing. Join this prestigious company to advance your career in healthcare credentialing and make a significant impact in provider services.

Qualifications

• Must have a CPCS certification as a Certified Provider Credentialing Specialist.
• Experience in healthcare credentialing processes is required.
• Knowledge of compliance with regulatory and accrediting bodies is crucial.

Responsibilities

• Maintain compliance with regulatory and accrediting bodies.
• Participate in development and implementation of credentialing processes.
• Credential physicians, allied health, and other practitioners.

Skills

Credentialing processes

Regulatory compliance

Database management

Education

CPCS certification

Job description

Certified Provider Credentialing Specialist

Cenpatico Behavioral Health, LLC® (Cenpatico) customizes behavioral health solutions by providing our clinical and administrative expertise to governmental entities, health plans and employers.

Our success stems from our commitment to managing behavioral healthcare services that can be clinically integrated into our customers’ programs, while enhancing consumer access to care. We provide a centralized point of access and clinical availability 24 hours a day, 7 days a week, simplifying the referral process for consumers.

Cenpatico services include, but are not limited to, risk-based utilization management, network development and maintenance, quality improvement, customer service and claims payment for behavioral health practitioners.

Cenpatico School Products provides educational programming and therapeutic services that support students with academic, behavioral and special healthcare needs through Cenpatico’s wholly-owned subsidiaries: Academic Behavioral Alternatives, In-Speech and IntegratED. Cenpatico School Products offers school districts and families positive, pro-active and evidence-based solutions which maximize programmatic capacity as well as students’ individual recovery, resiliency and results

Company Job Description/Day to Day Duties:

The Certified Provider Credentialing Specialist (CPCS) is typically employed or contracted by a healthcare organization including, but not limited to, hospitals (health systems), health plans, ambulatory care settings, group practices, and credentialing verification organizations.

A CPCS is an integral part of a credentialing team whose responsibilities include but are not limited to:

• Maintaining compliance with regulatory and accrediting bodies;
  
• Participating in the development and implementation of credentialing processes and procedures;
• Credentialing of physicians, allied health and other practitioners;
• Overseeing or participating in the development of and adherence to:
• Governance bylaws;
• Department rules and regulations;
• Policies pertaining to medical staff, practitioner/provider and the organization; and
• Collecting and maintaining an accurate practitioner database and analyzing verification information.

Candidate must have a CPCS certification, this is a Certified Provider Credentialing Specialist

Are you an experienced Credentialing Specialist looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career In Credentialing by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the Credentialing Specialist position for you!

If you are interested, reach out to me (Patricia) at 321-574-6536

The greatest compliment to our business is a referral. If you know of someone looking for a new opportunity, please pass along my contact information!