Credentialing Specialist *Hybrid

The Regional Municipality of Durham; Dallas (TX); Hybrid; USD 80,000 - 100,000; Full time

Job summary

Join a leading not-for-profit healthcare system as a Credentialing Specialist in Dallas. In this role, you'll be responsible for ensuring compliance and integrity within the credentialing process. With a supportive work environment and opportunity for hybrid remote work following training, you'll play a vital part in supporting medical staff and ensuring high-quality healthcare services.

Benefits

Dollar-for-dollar 401(k) match

Debt-free tuition assistance

Eligibility for benefits on day 1

Qualifications

• 1 Year of Experience required.
• Basic anatomy and physiology knowledge preferred.
• Certification in Medical Staff Coordination within 24 months required.

Responsibilities

• Coordinate and maintain credentialing and re-credentialing for medical staff.
• Ensure compliance with bylaws and regulatory standards.
• Act as liaison between medical staff and administration.

Skills

Knowledge of Health Line System

Medical terminology

Advanced computer skills

Education

Associate's degree

Job description

Description

*About Us* Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: * We serve faithfully by doing what's right with a joyful heart. * We never settle by constantly striving for better. * We are in it together by supporting one another and those we serve. * We make an impact by taking initiative and delivering exceptional experience. *Benefits* Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: * Eligibility on day 1 for all benefits * Dollar-for-dollar 401(k) match, up to 5% * Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more * Immediate access to time off benefits At Baylor Scott & White Health, your well-being is our top priority. Note: Benefits may vary based on position type and/or level *Job Summary* Under general supervision, responsible for all functions of the Credentialing Specialist. This includes credentialing, re-credentialing, and clinical privileging of medical staff. It also involves delineation of services for allied health professionals at Baylor Scott & White Health. Responsible for the accuracy and integrity of the credentialing and clinical privileging database system. Functions as a Credentialing Specialist to ensure the department performs optimally. Is knowledgeable about TJC, CMS, and other regulatory agencies related to medical staff and allied health professionals. *Work Model* Hybrid once training has been completed (Days in office/Days working from home.) *Completion is dependant upon employees progression throughout training. Monday through Friday - Daytime Hourly *Essential Functions of the Role* * Coordinates and maintains credentialing and re-credentialing for new and reappointment applications. Manages clinical privileging for medical staff and allied health professionals. Ensures compliance with medical staff bylaws, rules, regulations, policies, TJC, CMS standards, and other regulatory agencies. * Processes and maintains confidential medical staff and allied health professional data files. Handles requests for new applications, reappointment applications, staff category changes, and resignations or retirement. * Obtain all applicable affiliations using verification software, databases, and approved internet sites for primary source information and references. * Obtain all applicable education using verification software, databases, and approved internet sites for primary source information. * Sends appropriate communication and provides follow up to practitioners. * Reviews privilege cards and helping documentation for accuracy and completion. * Record all incoming mail/helping documentation in credentialing software system. * Performs quality audit and review. This may include examining files for completeness, conducting a final audit of completed applications and privileges, and confirming checklist data entry is complete. Provides final follow-up as necessary. Communicates incomplete status with applicants, facilities, and CVS Leadership. Maintains data integrity of the credentialing software database according to established policies and procedures. * Maintains knowledge of medical staff bylaws, rules, regulations, and allied health policies. Understands other credentialing policies and procedures. * Acts as a liaison between the medical staff facilities, practitioners, allied health professionals and administration. * Performs other duties as required. Job duties are subject to changes as directed by management. *Key Success Factors* * Associate's degree preferred. * Knowledge of Health Line System (Medical Staff Line and/or Echo) or other credentialing system preferred. * Knowledge of basic anatomy and physiology, medical terminology and functions of medical staff services. * Advanced computer skills in word processing, spreadsheets and databases. *Belonging Statement* We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve. *QUALIFICATIONS* * EDUCATION - Associate's or 2 years of work experience above the minimum qualification * EXPERIENCE - 1 Year of Experience CERTIFICATION/LICENSE/REGISTRATION - * Cert Medical Staff Coord (CMSC), Cert Provider Credentialing Spec (CPCS), Cert Prof Medical Services Mgr (CPMSM): Requires one of these certifications: Cert Professional Medical Services Management (CPMSM), Cert Medical Staff Coord (CMSC), or Cert Provider Credentialing Specialist (CPCS). Must obtain within 24 months from hire date.

As the largest not-for-profit healthcare system in Texas and one of the largest in the United States, Baylor Scott & White Health was born from the 2013 combination of Baylor Health Care System and Scott & White Healthcare.Today, Baylor Scott & White includes 52 hospitals, more than 1,300 health system care sites, more than 7,200 active physicians, over 57,000 employees and the Baylor Scott & White Health Plan.

More Jobs from Baylor Scott & White Health

Baylor Scott & White Health

Contact Center Specialist

Baylor Scott & White Health

Contact Center Specialist

Baylor Scott & White Health

Job Location

Net Salary per month

$4,898

Cost of Living Index

68 /100

68

Median Apartment Rent in City Center

(1-3 Bedroom)

$1,631-$3,504

$2,568

Safety Index

49 /100

49

Utilities

Basic

(Electricity, heating, cooling, water, garbage for 915 sq ft apartment)

$150-$400

$227

High-Speed Internet

$52-$100

$73

Transportation

Gasoline

(1 liter)

$0.79

Taxi Ride

$1.74

Data is collected and updated regularly using reputable sources, including corporate websites and governmental reporting institutions.

Loading...

Insert additional messaging here.