Medical Staff Credentialing Specialist jobs in Texas
Medical Staff Credentialing Specialist processes credentialing and recredentialing applications for health care providers. Mails, reviews, and verifies credentialing applications. Being a Medical Staff Credentialing Specialist loads and maintains provider information in an online credentialing database system. Tracks license and certification expirations for medical staff to ensure timely renewals. Additionally, Medical Staff Credentialing Specialist handles and resolves inquiries regarding credentialing information, process, or status. Requires a high school diploma. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to a supervisor. The Medical Staff Credentialing Specialist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Medical Staff Credentialing Specialist typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)
Recently Added Medical Staff Credentialing Specialist jobs
- Credentialing & Provider Enrollment - UTHealth Houston Careers
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Houston, TX
FULL_TIME
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What we do here changes the world. UTHealth Houston is Texas’ resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That’s where you come in.
Once you join us you won't want to leave. It’s because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you’d expect from a top healthcare organization (benefits, insurance, etc.), plus:
- 100% paid medical premiums for our full-time employees
- Generous time off (holidays, preventative leave day, both vacation and sick time – all of which equates to around 37-38 days per year)
- The longer you stay, the more vacation you’ll accrue!
- Longevity Pay (Monthly payments after two years of service)
- Build your future with our awesome retirement/pension plan!
We take care of our employees! As a world-renowned institution, our employees’ wellbeing is important to us. We offer work/life services such as...
- Free financial and legal counseling
- Free mental health counseling services
- Gym membership discounts and access to wellness programs
- Other employee discounts including entertainment, car rentals, cell phones, etc.
- Resources for child and elder care
- Plus many more!
Position Summary:
Coordinates, monitors and completes the enrollment process for all providers.
Position Key Accountabilities:
1. Responsible for submitting license updates to Medicare and Medicaid. Processes licensure list from UT System for update.2. Processes Blue Cross and Blue Shield and Railroad Medicare applications.3. Prepares worksheets for Medicaid submission.4. Assists with preparation for monthly credentialing meeting.5. Assists with preparing the Medicare Opt-Out Listing.6. Runs reports as needed and assists in preparation for audits.7. Prepares files and processes applications for initial and recredentialing, including data entry into systems for all departments. Updates licensure on all providers in the system.8. Regularly communicates information on expired licensure to all departments.9. Performs other duties as assigned.Certification/Skills:
Experience with Microsoft Office (including Outlook, Word, Excel, and PowerPoint), databases, internet, phone systems.
Minimum Education:
High School Diploma or equivalent.
Minimum Experience:
None. May substitute required experience with equivalent years of education beyond the minimum education requirement.
Physical Requirements:
Exerts up to 20 pounds of force occasionally and/or up to 10 pounds frequently and/or a negligible amount constantly to move objects.
Security Sensitive:
This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215
Residency Requirement:
Employees must permanently reside and work in the State of Texas.
- 2 Days Ago
- Gonzaba Medical Group
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San Antonio, TX
FULL_TIME
- General Summary: The Credentialing Specialist is responsible for managing and maintaining the credentialing data for our healthcare providers in the credentialing database, ensuring accuracy and compl...
- 1 Month Ago
- Omega Medical Billing
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Webster, TX
FULL_TIME
- This position entails communicating directly with the providers in person, via email and/or via phone, as well as hospitals and/or insurance companies. You will be responsible for enrolling and mainta...
- 11 Days Ago
- Medical City Arlington
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Arlington, TX
FULL_TIME
- Schedule: Full-time Days (Work from Home/Virtual) Introduction Are you looking for a work environment where diversity and inclusion thrive? Submit your application for our Credentialing Specialist ope...
- 23 Days Ago
- Oceans Healthcare
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Plano, TX
FULL_TIME
- **Position is not remote** The Medical Staff Credentialing Coordinator is responsible for providing support services to the Organization’s centralized Medical Staff Services Department (MSSD) and thos...
- 2 Months Ago
- AOA Orthopedic Specialists
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Arlington, TX
FULL_TIME
- DescriptionJOB SUMMARY: Responsible for all aspects of the credentialing, re-credentialing and privileging processes for all medical providers who provide patient care for Arlington Orthopedic Associa...
- Just Posted
Medical Staff Credentialing Specialist jobs at Popular Companies
- River City Staffing, Inc.
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Jackson, CA
- Physician Credentialing Specialist urgently needed in Jackson, CA for an onsite position at a large healthcare organizat...
- 6/11/2024 12:00:00 AM
- TAG - The Aspen Group
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Syracuse, NY
- The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U. ...
- 6/10/2024 12:00:00 AM
- Catholic Health Initiatives
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Chattanooga, TN
- **Overview** CHI Memorial Hospital now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and ...
- 6/10/2024 12:00:00 AM
- Coda Staffing
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Wayne, NJ
- Job Description Job Description Qualifications: · Credentialing Experience and process preferred for managed care compan...
- 6/8/2024 12:00:00 AM
- IDR
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Atlanta, GA
- Credentialing Specialist IDR is seeking a Credentialing Specialist to join one of our top clients in Pennsylvania. If yo...
- 6/8/2024 12:00:00 AM
- Addison Group
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St Louis, MO
- The actual job duties of a certification/credentialing specialist are many, and each is equally as important in ensuring...
- 6/7/2024 12:00:00 AM
- iCare Health Solutions Enterprise
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- Develop and cultivate productive relationships with providers, retail chains, strategic partners and their staff. Elevat...
- 6/7/2024 12:00:00 AM
- Sycamore Independent Physicians
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Huntsville, AL
- Job Summary: Obtain and process internal RRPA provider applications and supporting documentation for purposes of insuran...
- 6/7/2024 12:00:00 AM