Credentialing & Compliance Specialist

CHRISTUS Health; Texarkana (TX); On-site; USD 55,000 - 65,000; Full time

Job summary

CHRISTUS Health in Texarkana, TX seeks a Credentialing Specialist to coordinate and monitor credentialing and re-credentialing for the CVO, ensuring compliance with accrediting and regulatory agencies. You will verify information, maintain the credentialing database, and respond to client inquiries while safeguarding data integrity.

The role requires attention to detail, knowledge of credentialing statutes, and the ability to meet performance metrics.

Qualifications

• Bachelor's Degree preferred.
• High School Diploma or equivalent required.
• 3+ years of credentialing experience preferred.
• Certified Provider Credentialing Specialist (CPCS) preferred.

Responsibilities

• Coordinating, monitoring, and maintaining the credentialing and re-credentialing process.
• Conducts primary source verification and investigates discrepancies.
• Maintains credentialing database, generates reports, and ensures data integrity.
• Responds to inquiries and interfaces with internal/external customers on credentialing issues.
• Meets weekly performance metrics for file completion, quality, and turnaround time.
• Maintains strict confidentiality of all data.

Education

Bachelor's Degree

High School Diploma or equivalent

Job description

CHRISTUS Health in Texarkana, TX seeks a Credentialing Specialist to coordinate and monitor credentialing and re-credentialing for the CVO, ensuring compliance with accrediting and regulatory agencies. You will verify information, maintain the credentialing database, and respond to client inquiries while safeguarding data integrity.

The role requires attention to detail, knowledge of credentialing statutes, and the ability to meet performance metrics.