Specialist, Credentialing

4 weeks ago

San Antonio, United States Mpower Health Full time

Overview:

The Credentialing Specialist is responsible for initiating, tracking and updating all credentialing. This individual should possess a high degree of professionalism, strong interpersonal skills, attention to detail and maintain strict confidentiality.

Responsibilities:

Essential Job Duties and Responsibilities

  • Knowledge of federal and state regulatory requirements and accreditation standards (i.e., Joint Commission, CMS)
  • Maintain, track, and update all credentialing documents, including checking all applications for accuracy and completeness and providing status to need-to-know parties in timely manner.
  • Completes initial and re-credentialing applications on all physicians
  • Update and maintain all licensures, CVs, DEAs, and certificates
  • Tracks expiable information for all providers to ensure timely renewals.
  • Maintains excellent working relationships with the facilities to ensure timely and accurate credentialing status
  • Maintains strict confidentiality regarding protected health information understands HIPAA Privacy & Security policies and procedures
  • Maintains strict confidentiality regarding provider information.
  • Performs other duties and special projects as assigned by Supervisor or Director


Qualifications:

Education and/or Experience

  • High School Diploma or GED
  • Minimum of two years experience in credentialing
  • Excel, Word, Adobe experience

Skills/Specialized Knowledge

  • Knowledge of Joint Commission Standards
  • Proficient and accurate in data entry.
  • Ability to prioritize workload and meet strict deadlines.
  • Strong problem-solving skills and attention to detail.
  • Ability to prepare and write reports, summaries of work/work projects.
  • Strong personal motivation with ability to work with little supervision and attention to detail while working in a deadline driven environment.
  • Ability to think creatively, highly driven, self-motivated, highly organized.
  • Ability to courteously work with medical staff, hospital staff, insurance company representatives, co- workers, and others
  • Familiar with Texas Standardized Credentialing Application
  • Familiar with the verification process
  • Familiar with the ability to apply a physician to a Licensing Authority

Other Requirements

  • Must maintain professional appearance.
  • Ability to be at work on a regular and consistent basis

Physical and Mental Demands

This position will spend long hours sitting and using office equipment and computers. The position may also entail light lifting of supplies and materials occasionally, up to and including 20 pounds in addition to reaching, stooping, standing, and walking. This position requires the ability to talk, hear, compare, compute, compile, copy, analyze, coordinate, synthesize, negotiate and communicate. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.

Work Environment

Standard office working environment that may be busy and noisy at times.

#IND123

  • Credentialing Specialist

    4 weeks ago

    San Antonio, Texas, United States ERP International Full time

    Job Title: Credentialing SpecialistERP International is seeking a highly skilled Credentialing Specialist to join our team in San Antonio, TX. As a Credentialing Specialist, you will play a critical role in supporting the credentialing and privileging process for healthcare professionals.Job Summary:The Credentialing Specialist will be responsible for...

  • Credentialing Specialist

    4 weeks ago

    San Antonio, United States Gonzaba Medical Group Full time

    The Credentialing Specialist is responsible for managing and maintaining the credentialing data for our healthcare providers in the credentialing database, ensuring accuracy and compliance with regulatory requirements. This role will be involved in a Credentialing, Specialist, Healthcare, Skills, Business Services, Certification, Management

  • Credentialing Specialist

    2 weeks ago

    San Antonio, Texas, United States ERP International Full time

    About the RoleERP International is seeking a highly skilled Credentialing Specialist to join our team in San Antonio, TX. As a Credentialing Specialist, you will play a critical role in ensuring the accuracy and completeness of provider credentialing and privileging information.Key ResponsibilitiesMaintain provider credentialing files and e-file packets with...

  • Credentialing Specialist

    6 days ago

    San Antonio, Texas, United States Mpower Health Full time

    Credentialing Specialist Job DescriptionThe Credentialing Specialist plays a vital role in ensuring the accuracy and completeness of credentialing documents for healthcare professionals. This position requires a high degree of professionalism, strong interpersonal skills, and attention to detail.Key Responsibilities:1. Maintain, track, and update all...

  • Credentialing Specialist

    4 weeks ago

    San Antonio, Texas, United States Unavailable Full time

    Job OverviewERP International is seeking a highly experienced Credentialing Specialist to support the Corporate Office in San Antonio, TX. This role requires a professional with expertise in credentialing and onboarding healthcare professionals within government contracting. The successful candidate will work closely with Clinical Operations, Recruiters, and...

  • Credentialing Specialist

    2 weeks ago

    San Antonio, Texas, United States ERP International Full time

    Job SummaryERP International is seeking a skilled Credentialing Specialist to provide centralized credentialing and privileging services to support our Corporate Office in San Antonio, TX. This role requires a professional with experience in credentialing and onboarding healthcare professionals within government contracting.The successful candidate will work...

  • Credentialing Specialist

    1 month ago

    San Antonio, Texas, United States Mpower Health Full time

    Job Summary:The Credentialing Specialist will be responsible for initiating, tracking, and updating all credentialing activities. This role requires a high degree of professionalism, strong interpersonal skills, attention to detail, and the ability to maintain strict confidentiality.Key Responsibilities:• Maintain, track, and update all credentialing...

  • Credentialing Specialist

    2 weeks ago

    San Antonio, Texas, United States ERP International Full time

    OverviewERP International is seeking a skilled Credentialing Specialist to support the Corporate Office in San Antonio, TX. This role requires a professional with experience in credentialing and onboarding healthcare professionals within government contracting. The successful candidate will work closely with Clinical Operations and Recruiters, as well as...

  • Credentialing Specialist

    2 weeks ago

    San Antonio, Texas, United States Decypher Full time

    Decypher is a leading integrator of professional, technology, and management solutions and services. We provide our services globally to Federal, Commercial, Local and State clients. Our employees are our most valuable asset and play an integral role in the success of Decypher and our clients. Working at Decypher is a career where your talent and energy is...

  • Credentialing Professional

    1 month ago

    San Antonio, Texas, United States Mpower Health Full time

    Credentialing Specialist Job DescriptionMpower Health is seeking a highly skilled Credentialing Specialist to join our team. As a Credentialing Specialist, you will play a critical role in ensuring the accuracy and completeness of credentialing documents for our healthcare providers.Key Responsibilities:Initiate, track, and update all credentialing...

  • Healthcare Credentialing Specialist

    2 weeks ago

    San Antonio, Texas, United States UnitedHealth Group Full time

    Unlock Your Potential with UnitedHealth GroupAs a Healthcare Credentialing Specialist at UnitedHealth Group, you will play a vital role in ensuring the accuracy and integrity of our provider credentialing processes. Your expertise will be instrumental in verifying the qualifications and credentials of healthcare providers, ensuring that they meet the highest...

  • Credentialing Specialist

    6 days ago

    San Antonio, Texas, United States TEKsystems Full time

    Credentialing Specialist Role SummaryAs a Credentialing Specialist at TEKsystems, you will play a vital role in supporting the Medical Staff and Allied Health members. Your primary responsibility will be to ensure that all physicians and allied health professionals are properly credentialed according to JCAHO standards and Medical Staff Bylaws. This involves...

  • Medical Staff Liaison and Credentialing Specialist

    6 days ago

    San Antonio, Texas, United States TEKsystems Full time

    Credentialing and Medical Staff SupportWe are seeking a skilled Credentialing Specialist to join our team at TEKsystems. As a Credentialing Specialist, you will play a critical role in supporting our Medical Staff and ensuring compliance with regulatory agencies.Key Responsibilities:Credentials all physicians and allied health professionals according to...

  • Credentialing Specialist

    2 weeks ago

    San Antonio, Texas, United States UT Health San Antonio Full time

    Credentialing Coordinator Job DescriptionUT Health San Antonio is seeking a highly organized and detail-oriented Credentialing Coordinator to join our team. As a Credentialing Coordinator, you will play a critical role in ensuring the proper credentialing and privileging of physicians, mid-level providers, and other healthcare professionals.Key...

  • Credentialing Specialist

    2 weeks ago

    San Antonio, Texas, United States UT Health San Antonio Full time

    Credentialing Coordinator Job DescriptionUnder general supervision, the Credentialing Coordinator is responsible for ensuring the proper credentialing and privileging of physicians, mid-level providers, research associates, professionals, and paraprofessional individuals. The Credentialing Coordinator will maintain and ensure compliance for all licensures...

  • Credentialing Specialist

    3 weeks ago

    San Diego, California, United States Metis Practice Solutions Full time

    Job Title: Credentialing SpecialistMetis Practice Solutions is seeking a highly organized and detail-oriented Credentialing Specialist to join our team. As a Credentialing Specialist, you will play a critical role in ensuring that healthcare providers in private practices are properly credentialed and comply with all payer and licensing regulations.Key...

  • Credentialing Specialist

    2 weeks ago

    San Jose, California, United States Randstad Full time

    Credentialing SpecialistWe are seeking a highly organized and detail-oriented Credentialing Specialist to join our team. As a Credentialing Specialist, you will be responsible for coordinating and overseeing the credentialing processes for medical staff and allied health professionals, ensuring compliance with regulatory standards and supporting Medical...

  • Credentialing Specialist

    2 weeks ago

    San Antonio, Texas, United States ASPIRE Medical Staffing Full time

    Job Title: Credentialing CoordinatorJob Summary:We are seeking a skilled Credentialing Coordinator to join our team at ASPIRE Medical Staffing. The successful candidate will be responsible for processing initial credentialing packets and re-credentialing applications, screening practitioners' applications, and verifying healthcare...

  • Credentialing Specialist

    4 weeks ago

    San Jose, California, United States Randstad Full time

    Job Title: Credentialing SpecialistWe are seeking a highly organized and detail-oriented Credentialing Specialist to join our team. As a Credentialing Specialist, you will be responsible for coordinating and overseeing the credentialing processes for medical staff and allied health professionals, ensuring compliance with regulatory standards and supporting...

  • Credentialing Specialist

    2 weeks ago

    San Antonio, Texas, United States Deery Brothers Full time

    Job OverviewThis position is responsible for managing provider enrollment, credentialing, and re-credentialing for multiple behavioral health providers. The role also involves investigating billing issues related to contracting and credentialing. The successful candidate will maintain up-to-date data for each provider in credentialing databases and online...