Credentialing Specialist

1 week ago

Dallas, Texas, United States Texas Health Resources Full time

Credentialing Specialist - THPG

Bring your passion to Texas Health so we are Better + Together

Position Highlights

  • Work location: REMOTE/ Work from Home – Dallas Work Location Must live within DFW
  • Work environment: Office
  • Work hours: Full-time, 40 hours weekly, Monday thru Friday, 8:00am – 5:00 pm

Facility: Texas Health Physicians Group (THPG)

Address: Texas Health Physicians Group 9250 Amberton Parkway TX 75243

Texas Health Physicians Group (THPG) is a not-for-profit physician organization with more than 250 locations and 800 physicians, nurse practitioners and physician assistants dedicated to providing quality care in clinics and medical offices throughout North Texas.

What You Will Do:

Act as a liaison for the credentialing process for both internal departments and external customers and providers

Coordinate, monitor, and prepare documentation for all practitioners both inpatient and/or outpatient services in all applicable health care settings

Actively demonstrates the organization's mission and core values, and conducts oneself at all times in a manner consistent with these values

Establishes, maintains, and updates files, databases, records, and/or other documents

Support THPG providers with managed care credentialing requirements and requests

Special projects/other duties as assigned

What You Need:

Education

Bachelor's Degree - Preferred

H.S. Diploma or Equivalent - Required

Experience

2 years of credentialing coordination experience in Healthcare (specifically, Physician Practice or managed care) - Required

Licenses and Certifications

CPCS - Certified Provider Credentialing Specialist Upon Hire - Preferred

Education

Bachelor's Degree Pref And

H.S. Diploma or Equivalent Req

Experience

2 Years 2 years of credentialing coordination experience in Healthcare (specifically, Physician Practice or managed care) Req

Licenses and Certifications

CPCS - Certified Provider Credentialing Specialist Upon Hire Pref

Skills

Experience with new installations and integrations of physician practices

Effective business acumen to develop positive relationships and strategies to perform effectively within the dynamics of a corporate organization

Familiar with NCQA and TJC standards and how to apply them

Incumbent must have extremely effective and polished communications skills - both written and oral.

Must have the capacity and availability to coordinate activities within physicians' schedules

Ability to work independently and prioritize work, perform thorough investigation and follow through on issue resolution with minimal management intervention in a high pace environment

Proficient in the use of Outlook, Skype, Excel, Word, and Powerpoint, MD Staff Credentialing Database (or alternate credentialing software) with basic computer and keyboarding skills

Supervision

Individual Contributor

ADA Requirements

Working Indoors 67% or more

Physical Demands

Sedentary

  • Dental Credentialing Specialist

    2 weeks ago

    Dallas, Texas, United States Ideal Dental Full time

    Position Summary:The Dental Credentialing Specialist is responsible for managing the complete credentialing and recredentialing lifecycle for dental providers across multiple insurance payers. This includes ensuring timely submission and maintenance of provider records, monitoring application statuses, and enrolling providers and locations in Electronic...

  • Credentialing Administrative Assistant Job

    2 weeks ago

    Dallas, Texas, United States Prism Health North Texas Full time

    Why You'll Love This JobPosition SummaryThe Credentialing and Privileging Administrative Assistant provides administrative support for the credentialing and privileging of medical, dental, pharmacy, and behavioral health staff. This position ensures that provider files are accurate, complete, and ready for review, and that the organization complies with...

  • Clinical Specialist

    3 days ago

    Dallas, Texas, United States ConsignMed Full time

    JOB DESCRIPTION: The PRN/1099 Clinical Specialist is a focused individual who has a passion for patient care and physician and staff education.  This person will proctor cases to excellence and independently cover CVAC procedures, training the surgical team on the safe and effective uses of the device. The Clinical Specialist works closely with the surgical...

  • Neurodiagnostic Specialist

    2 weeks ago

    Dallas, Texas, United States Medical City Healthcare Full time

    Medical City DallasNeurodiagnostic SpecialistFull TimeNights7 PM - 7 AMRotating WeekendsNo CallIntroductionLast year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Neurodiagnostic Specialist with Medical City Dallas you can be a part of an organization that is devoted to giving backBenefitsMedical City Dallas,...

  • Mailbox Operations Specialist

    2 weeks ago

    Dallas, Texas, United States PTR Global Full time

    Job Description:Mailbox Operations SpecialistPosition Overview:The Mailbox Operations Specialist will manage highvolume mailbox operations for Incumbent Local Exchange Carrier (ILEC) meet-points and XML gateway requests across 21 states.Key Responsibilities:The Mailbox Operations Specialist will:Manage the ILEC MeetPoint Mailbox, processing approximately 400...

  • Implementation Specialist

    3 days ago

    Dallas, Texas, United States PM AM Corporation | PM AM IT Services Full time

    Position – Implementation SpecialistJob type - FulltimeLocation – Dallas, TX OnsitePMAM Corporation, a Dallas-based technology company celebrating 25 years of innovation and success, proudly serves over 600 clients across various industries. We are currently seekingImplementation Specialistto Provide support for users all over the country and understand...

  • Claims Resolution Specialist

    2 weeks ago

    Dallas, Texas, United States HCA Healthcare Full time

    *Description*IntroductionDo you want to join an organization that invests in you as a Claims Resolution Specialist? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.BenefitsParallon offers a total rewards package that supports the health, life,...

  • Medical Billing Specialist

    2 weeks ago

    Dallas, Texas, United States HCA Healthcare Full time

    *Description*IntroductionThis Work from Home position requires that you live and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA).Experience the HCA Healthcare difference where colleagues are trusted, valued...

  • Clinical Technology Specialist

    6 days ago

    Dallas, Texas, United States ForTec Medical Full time

    Company Description ForTec Medical is an industry leader, dedicated to improving patient health. Our Mission is to improve patient health and healthcare by delivering innovative surgical technologies on demand. ForTec's commitment to excellence, integrity, and positive culture defines our organization. Join us in shaping the future of healthcare while...

  • Admissions Specialist- Full time

    1 week ago

    Dallas, Texas, United States Texas Health Resources Full time

    Admissions SpecialistBring your passion to Texas Health so we are Better + TogetherWork location: Texas Health Kaufman- 850 Ed Hall Drive, Kaufman, TX 75142Work hours: Full Time 36 hours a week. Sunday, Monday, Tuesday – 6:30pm – 7:00amDepartment highlights:Opportunities to grow within the companySupportive team environmentCollaborative workplace that...