Credentialing & Provider Onboarding Specialist

CommonSpirit Health; Houston (TX); On-site; USD 60,000 - 75,000; Full time

Job summary

St. Joseph Health in Brazos Valley region seeks a Credentialing Professional to coordinate credentialing, re-credentialing, and payer enrollment for providers in line with policies and regulatory requirements.

You will manage daily credentialing operations, resolve non-responsive providers, and collaborate with clinic managers and the medical staff office to ensure timely completion of delegated credentialing tasks.

Qualifications

• Knowledge of credentialing regulations and regulatory requirements.
• Strong organizational and communication skills.
• Ability to manage multiple credentialing workflows and complex administrative tasks.

Responsibilities

• Manage the process of sending initial and/or reappointment applications and monitoring their return with required documents.
• Process appointment/reappointment applications accurately and communicate status in writing.
• File appointment/reappointment applications and other communications as needed.
• Prepare files for review by the clinical Service Chief and Credentials Committee in a professional and organized manner.
• Perform third-party verifications of submitted materials as required by policy and bylaws.
• Document receipt of application materials and verifications in the credentialing system (ECHO) and file copies in physician files.

Skills

Credentialing regulations knowledge

Organizational skills

Communication skills

Attention to detail

Documentation management

Education

High School Diploma or GED

Tools

ECHO credentialing system

Job description

St. Joseph Health in Brazos Valley region seeks a Credentialing Professional to coordinate credentialing, re-credentialing, and payer enrollment for providers in line with policies and regulatory requirements.

You will manage daily credentialing operations, resolve non-responsive providers, and collaborate with clinic managers and the medical staff office to ensure timely completion of delegated credentialing tasks.