Credentialing Specialist - REMOTE *TEXAS Residents Only*

Little Spurs Pediatric Urgent Care; Texas; Remote; USD 50,000 - 70,000; Full time

Benefits offered by this job

Medical, Dental & Vision Benefits

401k with company match

80 hours of PTO

No cost for in-house medical care

Job summary

Little Spurs Pediatric Urgent Care is hiring a Credentialing Specialist to manage their credentialing database and ensure compliance with healthcare regulations. The ideal candidate will have at least 3 years of provider credentialing experience, knowledge of credentialing software, and the ability to communicate professionally with physicians. This is a full-time remote position offering comprehensive benefits including medical, dental, vision insurance, and a 401k plan.

Qualifications

• Minimum 3 years provider credentialing experience.
• Ability to meet and confer in a professional manner with Physicians.
• Knowledge of federal and state regulatory requirements.

Responsibilities

• Maintain the credentialing database and all licensures for healthcare providers.
• Ensure compliance with government/state regulations and UCA requirements.

Skills

Provider credentialing experience

Professional communication with physicians

Knowledge of credentialing software

Intermediate proficiency with Excel

Education

High School diploma or equivalent

Bachelor's degree in health care administration or related field (preferred)

Job description

Credentialing Specialist - REMOTE

Status: Full-time, Exempt

Schedule: Mon-Fri

Location: (Remote)

Overview

Little Spurs Pediatric Urgent Care and Little Spurs Autism Centers is looking to add a Credentialing Specialist to our growing team! The Credentialing Specialist will be responsible for maintaining the credentialing database, all licensures, insurance, board certifications for Little Spurs healthcare providers. The Credentialing Specialist will work under the direction of the Central Business Office Manager to ensure effective operations and compliance with government/state regulations and UCA requirements.

Qualifications

• High School diploma or equivalent
• Minimum 3 years provider credentialing experience
• Ability to meet and confer in a professional manner with Physicians and Physician extenders
• Bachelor's degree in health care administration, business management, or related field (preferred)
• Knowledge of credentialing software and ability to navigate payor portals
• Provider enrollment/reenrollment (CAQH, PECOS, PEMS, TMHP, etc.)
• Intermediate level of proficiency with Excel, Word, Outlook and Adobe
• Delegated credentialing experience (preferred)
• Knowledge of federal and state regulatory requirements and accreditation standards (i.e., Joint Commission, NCQA, UCA, and CMS) (preferred)
• CPCS or CPMSM (preferred)

Benefits

• Medical, Dental & Vision Benefits available employee, spouse, and dependents
• Voluntary Short-Term & Long-Term Disability & Voluntary Life Insurance (Employee, Spouse, Children)
• 401k with 4% company match on 5% employee contribution
• 80 hours of PTO accumulated through the year; available for rollover
• More PTO accrued after three and five years of service
• No cost for in-house medical care for employee and dependent children
• Employee recognition and appreciation programs