Current jobs related to Credentialing Specialist II - Houston, Texas - Chi
-
Credentialing Specialist
1 week ago
Houston, Texas, United States Citizant Full timeJob Title: Credentialing SpecialistJob Summary:We are seeking a highly skilled Credentialing Specialist to join our team at Citizant. As a Credentialing Specialist, you will be responsible for scheduling appointments and coordinating the enrollment process for Personal Identity Verification (PIV) cards. You will also be responsible for verifying the...
-
Senior Credentialing Specialist
2 weeks ago
Houston, Texas, United States Memorial Hermann Health System Full timeJob SummaryThe Senior Credentialing Specialist plays a critical role in ensuring the credentialing and re-credentialing of physicians and providers meet all organizational, state regulatory, and external accreditation requirements.Key ResponsibilitiesCoordinates all activities associated with credentialing and re-credentialing, ensuring compliance with...
-
Credentialing Specialist
3 days ago
Houston, Texas, United States Inception Fertility Corporate Services Full timeJob DescriptionInception Fertility Corporate Services is seeking a highly organized and motivated Credentialing Specialist to assist with tasks and projects related to physician and practitioner credentialing and third-party payor contracting.The ideal candidate will have experience with credentialing databases, third-party payor rules and regulations, and...
-
Senior Credentialing Specialist
4 days ago
Houston, Texas, United States Memorial Hermann Health System Full timeAt Memorial Hermann, we strive to deliver exceptional care and create personalized experiences for every member of our community.We believe that when our employees feel valued, heard, and supported, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, and efficiency.If you want to advance your career and...
-
Credentialing and Enrollment Specialist
2 weeks ago
Houston, Texas, United States Privia Health LLC Full timeJob Title: Credentialing and Enrollment SpecialistJoin Privia Health LLC, a technology-driven, national physician enablement company, as a Credentialing and Enrollment Specialist. This full-time position is a hybrid role that requires working in the office on Tuesdays and Thursdays at 1200 Binz St Suite 1490 Houston TX, with the option to work from home on...
-
Credentialing and Enrollment Specialist
4 days ago
Houston, Texas, United States Privia Health LLC Full timeCredentialing and Enrollment SpecialistPrivia Health LLC is seeking a highly skilled Credentialing and Enrollment Specialist to join our team. As a key member of our medical group credentialing team, you will be responsible for ensuring timely and accurate credentialing and enrollment of providers across various health plans.Key Responsibilities:Ensure...
-
Credentialing and Enrollment Specialist
2 weeks ago
Houston, Texas, United States Privia Health LLC Full timeJob Title: Credentialing and Enrollment SpecialistPrivia Health LLC is seeking a highly skilled Credentialing and Enrollment Specialist to join our team. As a Credentialing and Enrollment Specialist, you will be responsible for ensuring that all aspects of the credentialing, re-credentialing, and privileging processes are completed in a timely and accurate...
-
Provider Credentialing Specialist
2 weeks ago
Houston, Texas, United States Privia Health LLC Full timeCredentialing and Enrollment Specialist Job SummaryThis role is responsible for managing provider credentialing, enrollment, and privileging processes for a high-performance medical group. The Credentialing and Enrollment Specialist will work closely with internal and external stakeholders to ensure timely resolution and completion of payor enrollment to...
-
Credentialing and Enrollment Specialist
2 weeks ago
Houston, Texas, United States Privia Health LLC Full timeJob Title: Credentialing and Enrollment SpecialistThis is a hybrid role that requires working in the office on Tuesdays and Thursdays at 1200 Binz St Suite 1490 Houston TX. The remaining days are typically work from home but may be in office on occasion.Job Summary:The Credentialing and Enrollment Specialist is responsible for all aspects of the...
-
Credentialing and Enrollment Specialist
1 month ago
Houston, Texas, United States Privia Health LLC Full timeJob Title: Credentialing and Enrollment SpecialistThis is a hybrid role that requires working in the office on Tuesdays and Thursdays at 1200 Binz St Suite 1490 Houston TX. The remaining days are typically work from home but may be in office on occasion.Job Summary:The Credentialing and Enrollment Specialist is responsible for all aspects of the...
-
Installation Engineer II
4 days ago
Houston, Texas, United States TechnipFMC plc Full timeA critical component of our team, the Installation Engineer II - Controls Specialist, plays a vital role in ensuring proper planning and execution of post-manufacturing services to our customers.Responsibilities include:Field installation supportTechnical documentationProduct design review and validationTechnical planningCustomer interfaceProject...
-
Fraud Prevention Specialist II
2 weeks ago
Houston, Texas, United States Stellantis Financial Services US Full timeJob Title: Fraud Prevention Specialist IIStellantis Financial Services US is a leading provider of financial services to the automotive industry. We are seeking a highly skilled Fraud Prevention Specialist II to join our team.Job Summary:The Fraud Prevention Specialist II is responsible for investigating and preventing fraud to mitigate the risk of loss to...
-
Title Specialist II
3 weeks ago
Houston, Texas, United States Della Infotech Full timeJob Title: Title Curative Specialist IIAt Della Infotech, we are seeking a highly skilled Title Curative Specialist II to join our team. As a key member of our title operations, you will be responsible for resolving routine title issues, executing title curative actions, and maintaining a high level of customer service.Key Responsibilities:Resolve routine...
-
Title Specialist II
2 weeks ago
Houston, Texas, United States Della Infotech Full timeJob Title: Title Curative Specialist IIAt Della Infotech, we are seeking a highly skilled Title Curative Specialist II to join our team. As a key member of our title operations team, you will be responsible for resolving routine title issues, executing title curative actions, and maintaining a high level of customer service.Key Responsibilities:Resolve...
-
Fraud Prevention Specialist II
3 weeks ago
Houston, Texas, United States Stellantis Financial Services US Full timeJob Title: Fraud Prevention Specialist IIStellantis Financial Services (SFS) is a leading captive finance company for one of the world's top automakers. We're seeking a highly skilled Fraud Prevention Specialist II to join our team.Job Summary:The Fraud Prevention Specialist II is responsible for investigating, detecting, and preventing fraud to mitigate the...
-
Fraud Prevention Specialist II
3 weeks ago
Houston, Texas, United States Stellantis Financial Services US Full timeJob Title: Fraud Prevention Specialist IIJob Summary:The Fraud Prevention Specialist II plays a critical role in protecting Stellantis Financial Services US from financial losses due to fraudulent activities. This position requires a detail-oriented individual with strong analytical skills to investigate, detect, and prevent fraud.Key Responsibilities:Fraud...
-
Cardiac Sonographer II
2 weeks ago
Houston, Texas, United States Quality Talent Group Full timeAbout the JobWe are seeking an experienced Cardiac Sonographer II to join our Cardiology team at Houston Methodist. As a key member of our team, you will be responsible for performing a variety of routine to complex echocardiograms, including Transthoracic Echocardiogram (TTE), Transesophageal Echocardiogram (TEE), and advanced TTE procedures.As a Cardiac...
-
Mental Health Specialist II
1 month ago
Houston, Texas, United States Dungarvin Full timeAbout UsDungarvin is a Minnesota-based industry leader with over 45 years of experience in providing human services. We are committed to creating a supportive environment for individuals with disabilities.Why Work with UsCompetitive hourly wages starting at $20/hourRegular pay increases and PTO accrual rates that increase with tenureA comprehensive benefits...
-
Physical Therapist II
3 weeks ago
Houston, Texas, United States Quality Talent Group Full timeAbout the JobWe are seeking a highly skilled Physical Therapist II to join our team at Houston Methodist. As a Physical Therapist II, you will be responsible for evaluating and developing the therapy plan of care for a broad range of diagnoses and acuities.Key ResponsibilitiesEvaluate patients to identify their level of function and determine the treatment...
-
Medical Claims Eligibility Specialist II
2 weeks ago
Houston, Texas, United States MET Healthcare Solutions Full timeJob SummaryMET Healthcare Solutions is seeking a highly skilled Medical Claims Eligibility Specialist II to join our team. The successful candidate will be responsible for analyzing level II claims information to determine eligibility in the dispute resolution process, ensuring compliance with established federal regulations and company policies.Key...
Credentialing Specialist II
2 months ago
Chi is a recognized leader in the healthcare sector, dedicated to advancing clinical excellence and research initiatives. Our commitment to enhancing healthcare standards is reflected in our innovative facilities designed to prioritize patient and staff safety. Our collaborative efforts with leading medical institutions allow us to provide unparalleled care and improve community health outcomes.
Key Responsibilities
The Credentialing Coordinator II will oversee credentialing operations at the division level, ensuring efficient data management and maintenance of physician databases. This role involves acting as a liaison between healthcare providers and facilities throughout the credentialing process. The coordinator will analyze regulatory requirements and ensure compliance with accreditation standards. Additionally, this position will mentor junior team members and collaborate with leadership to enhance credentialing practices.
Core Duties
- Initiate and manage the collection of primary source information for credentialing purposes, ensuring all documentation is verified and maintained confidentially.
- Conduct thorough evaluations of all primary source documents to assess qualifications and competencies, identifying any potential issues that may arise.
- Serve as the main point of contact for practitioners during the credentialing process, providing guidance and support as needed.
- Maintain an accurate and secure database of physician and allied health professional information, utilizing credentialing platforms effectively.
- Mentor less experienced team members and actively contribute to the development of best practices within the credentialing department.
- Escalate any concerns regarding documentation or verification timelines appropriately, ensuring timely communication with facilities.
- Support standardization efforts across the system and division, identifying opportunities for improvement.
- Monitor and manage all required expirables related to credentialing.
- Perform additional duties as assigned, ensuring all tasks are completed competently and efficiently.
Required Education and Experience:
- A minimum of ten (10) years in medical staff services or five (5) years with relevant credentialing certifications.
- An associate's degree is preferred.
- Experience with credentialing databases, preferably MSOW or Cactus.
- Proficiency in Microsoft Office and/or Google Workspace.
- Strong written and verbal communication skills.
- Detail-oriented with excellent data entry capabilities and task prioritization skills.
- Ability to work remotely while maintaining confidentiality and meeting deadlines.
- Strong analytical skills to synthesize and coordinate data effectively.
- Ability to handle complex tasks and maintain positive relationships with colleagues and stakeholders.
- Capable of making informed decisions and exercising sound judgment.
- Demonstrated responsibility for managing day-to-day workload effectively.
The responsibilities outlined above are intended to provide a general overview of the role and are not exhaustive. Additional duties may be assigned as necessary.
