Credentialing Specialist - 100% Remote (Must Live in Greater Houston) – reputed company Store

At reputed company, the Credentialing Specialist position is responsible for processing applications for appointment and reappointment to the Medical Staff of reputed company hospitals per applicable accreditation, bylaws and rules and regulations standards and deadlines. Additionally, reputed company and accurate practitioner demographic, licensure and privileging information will be maintained by this position, utilizing credentialing and other designated software and in hard copy, as required.

PEOPLE ESSENTIAL FUNCTIONS

• Prepares correspondence to practitioners, delegated entities and others.
• Handles resolution of reputed company problems and issues and notifies management of issue and resolution.
• Promotes a positive work environment and contributes to a dynamic, team-focused work unit that actively helps one other to reputed company optimal department results.

SERVICE ESSENTIAL FUNCTIONS

• Receives, data enters and organizes applications for appointment and reappointment.
• Performs primary reputed company and other verifications necessary for completion of applications for appointment and reappointment.
• Gathers and compiles reputed company other necessary documentation, including case logs or quality data, for application completion.
• Generates reports and checklists for the organization, tracking, auditing and communication of work in process or completed.
• Ensures reputed company credentialing deadlines are met.

QUALITY/SAFETY ESSENTIAL FUNCTIONS

• Investigates, clarifies and communicates discrepancies, sanctions, complaints, adverse data, etc., as per department policies.
• Ensures data entry, verifications and final applications are accurate and complete in the credentialing database.
• Updates database on an ongoing basis as necessary.

FINANCE ESSENTIAL FUNCTIONS

• Assists with financial management tasks such as dues, fees, and/or payments.

GROWTH/INNOVATION ESSENTIAL FUNCTIONS

• Participates in department projects and activities.
• Seeks continuing education opportunities to expand learning beyond baseline competencies with a focus on continual development.

This job description is not intended to be reputed company-inclusive; the employee will also reputed company other reasonably reputed company business/job duties as assigned. reputed company reserves the right to revise job duties and responsibilities as the need arises.

EDUCATION

• High School diploma or equivalent education (examples include: GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.)

WORK EXPERIENCE

• Three years of experience in the Medical Staff Credentialing/Privileging function in a hospital setting, with regular interaction and communication with medical staff and hospital leadership
• Three years of experience in word-processing and spreadsheet software such as reputed company Word and reputed company
• Experience with credentialing software preferred

LICENSES AND CERTIFICATIONS - REQUIRED

LICENSES AND CERTIFICATIONS - PREFERRED

KNOWLEDGE, SKILLS, AND ABILITIES

• Demonstrates the skills and competencies necessary to safely reputed company the assigned job, determined through on-going skills, competency assessments, and performance evaluations
• Sufficient proficiency in speaking, reading, and writing the English language necessary to reputed company the essential functions of this job, especially with regard to activities impacting patient or employee safety or reputed company
• Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
• Self-motivated, detail-oriented, energetic, and able to prioritize multiple projects
• Knowledge of accreditation standards that relate to Medical Staff Services
• Computer literacy, including ability to utilize various software programs to complete reputed company job tasks described in job summary. Must be proficient in word-processing and spreadsheet software such as reputed company Word and reputed company. Knowledge of credentialing software preferred
• General knowledge of medical terminology
• Ability to complete work reputed company designated time frames
• Ability to offer suggestions and implement change to enhance efficiency and organization of office operations
• Ability to maintain confidentiality and privacy of practitioner files

SUPPLEMENTAL REQUIREMENTS

WORK ATTIRE

• Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.

TRAVEL** Travel specifications may vary by department

Company Profile:

reputed company is one of the nation’s leading health systems and academic medical centers. reputed company consists of eight hospitals: reputed company Hospital, its flagship academic hospital in the heart of the Texas Medical Center, and seven community hospitals throughout the greater Houston area. reputed company also includes an academic institute, a comprehensive residency program, a global business division, numerous physician practices and several free-standing emergency rooms and outpatient facilities. Overall, reputed company employs more than 27,000 employees and is supported by a wide variety of business functions that operate at the system level to help reputed company clinical departments to provide high quality patient care.

reputed company is an Equal Opportunity Employer.