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Provider Credentialing Specialist

2 months ago

Houston, Texas, United States Privia Health LLC Full time
Job Title: Provider Credentialing Specialist

Privia Health LLC is seeking a highly skilled Provider Credentialing Specialist to join our team. As a key member of our credentialing team, you will be responsible for ensuring the timely and accurate credentialing of healthcare providers across our network.

Key Responsibilities:
  • Ensure compliance with all relevant healthcare regulations and guidelines
  • Coordinate with healthcare providers, payers, and other stakeholders to obtain necessary documentation and information
  • Verify and validate provider credentials, including licenses, certifications, and malpractice insurance
  • Manage and maintain accurate and up-to-date provider data in our credentialing system
  • Identify and resolve any issues or discrepancies related to provider credentialing
Requirements:
  • At least 3 years of experience in managed care credentialing
  • Experience with TX commercial and government payers required
  • Provider enrollment experience required
  • MS Excel proficiency required
  • Verity CredentialStream experience preferred
  • Salesforce experience preferred
  • Athena EMR experience preferred
What We Offer:
  • Competitive salary range: $57,000 - $62,000
  • Annual bonus targeted at 10%
  • Opportunity to work with a dynamic and growing healthcare company
  • Collaborative and supportive team environment

Privia Health LLC is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating a workplace that is inclusive and respectful of all employees. If you are a motivated and detail-oriented individual with a passion for healthcare credentialing, we encourage you to apply for this exciting opportunity.