Credentialing Specialist: Accelerate Provider Enrollments

Talentify; Houston (TX); On-site; USD 50,000 - 65,000; Full time

Job summary

St. Joseph Health is seeking a Credentialing Professional to coordinate credentialing, re-credentialing, and payer enrollment for providers in accordance with delegated credentialing agreements, policies and procedures, industry best practices, and regulatory requirements.

Every day you will manage daily credentialing operations, including resolution of non-responsive providers. You will also work collaboratively with clinic managers and the hospital medical staff office to ensure timely

Qualifications

• High School Diploma or GED upon hire.
• Experience with credentialing processes is preferred.
• Strong organizational and communication skills required.

Responsibilities

• Manage the process of sending initial and/or reappointment applications and monitoring their return with required documents
• Responsible for processing appointment/reappointment applications in an accurate, thorough, and timely manner; clearly and succinctly communicate reappointment status to applicant in writing
• File appointment/reappointment applications and other communication as needed
• Prepare files other documents, as requested, for review and evaluation of the clinical Service Chief and Credentials Committee in an accurate, consistent, professional, and organized manner
• Perform 3rd party verifications of submitted material as required by department policy, medical staff policy, and the Bylaws of the Medical Staff
• Document receipt of application materials and verifications in the credentialing system (ECHO) (e.g. Texas Medical License, Malpractice Insurance, DEA, Board Certification, DPS, etc.). File copy in physician's file

Skills

Organizational skills

Communication skills

Education

High School Diploma

GED General Studies

Job description

St. Joseph Health is seeking a Credentialing Professional to coordinate credentialing, re-credentialing, and payer enrollment for providers in accordance with delegated credentialing agreements, policies and procedures, industry best practices, and regulatory requirements.

Every day you will manage daily credentialing operations, including resolution of non-responsive providers. You will also work collaboratively with clinic managers and the hospital medical staff office to ensure timely