Senior Credentialing Specialist – Provider Compliance

Memorial Hermann Health System; Houston (TX); On-site; USD 50,000 - 70,000; Full time

Job summary

A leading health care system in Houston is seeking a System Credentialing Coordinator responsible for coordinating credentialing and re-credentialing of physicians and providers. Key responsibilities include implementing procedures, processing applications, and serving as a liaison during credentialing. Candidates should have three years of credentialing experience, strong analytical, and communication skills. This is a full-time role offering competitive benefits and the opportunity to contribute to the health care community.

Qualifications

• Three years of credentialing experience in a managed care plan or similar.
• Proficient understanding of Joint Commission, NCQA, and URAC accreditation standards.
• Knowledge of initial credentialing practices and primary source verification methods.

Responsibilities

• Coordinate credentialing, re-credentialing, and privileging of network providers.
• Process provider applications and maintain provider profiling system.
• Serve as a liaison during credentialing processes.

Skills

Analytical skills

Communication skills

Computer skills (Microsoft Office)

Education

Associate's degree preferred

Job description

A leading health care system in Houston is seeking a System Credentialing Coordinator responsible for coordinating credentialing and re-credentialing of physicians and providers. Key responsibilities include implementing procedures, processing applications, and serving as a liaison during credentialing. Candidates should have three years of credentialing experience, strong analytical, and communication skills. This is a full-time role offering competitive benefits and the opportunity to contribute to the health care community.