Credentialing Intake Specialist CVO - Staff Credentialing

CHRISTUS Health; Irving (TX); Presencial; USD 55.000 - 75.000; Jornada completa

Descripción de la vacante

CHRISTUS Health is seeking a credentialing professional to lead and coordinate the intake, review, and re-credentialing of practitioner applications within the CVO. The role ensures regulatory compliance and maintains data accuracy across credentialing databases.

Responsibilities include monitoring queries, generating reports, and meeting departmental metrics while upholding confidentiality and coordinating with internal/external customers on credentialing issues.

Formación

• Meets weekly departmental metrics on turnaround time and processing.
• Experience with hospital or managed care credentialing preferred.
• CPCS certification is a plus.

Responsabilidades

• Leads and coordinates practitioner application review and eligibility.
• Monitors and analyzes credentialing intake and re-credentialing processes.
• Maintains data integrity in credentialing systems and reports.

Conocimientos

Leadership

Process coordination

Regulatory awareness

Data integrity

Educación

High School Diploma or GED

Herramientas

Credentialing database

Descripción del empleo

Summary

Responsible for leading, coordinating, monitoring, and maintaining the credentialing and re-credentialing intake process within the CVO. Ensures interpretation and compliance with the appropriate accrediting and regulatory agencies, while developing and maintaining a working knowledge of the statutes and laws relating to credentialing. Responsible for the accuracy and integrity of data within the credentialing database system and related applications.

Responsibilities

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.


• Leads, coordinates, and monitors the review and analysis of practitioner applications and accompanying documents, ensuring applicant eligibility.


• Identifies issues that require additional investigation and evaluation, validates discrepancies, and ensures appropriate follow-up.


• Processes requests for initial and reappointment applications.


• Responds to inquiries from other healthcare organizations, interfaces with internal/ external customers on day-to-day credentialing/privileging issues as they arise.


• Utilizes and maintains the credentialing database or additional applications, optimizing efficiency, and performs queries, reports, and document generation.


• Meets weekly departmental metrics which includes: turnaround time of responses to requests, timeliness of processing application requests.


• Maintains strict confidentiality of all data and information.


• Performs miscellaneous job-related duties as assigned.

Job Requirements

Education/Skills

• High School Diploma or GED required

Experience

• Minimum of at least one (1) year experience related to hospital or managed care credentialing.

Licenses, Registrations, or Certifications

• Certified Provider Credentialing Specialist (CPCS) preferred

Work Schedule

8AM - 5PM Monday-Friday

Work Type

Full Time