Company

Uthealth HoustonSee more

addressAddressHouston, TX
type Form of workFull-time
salary Salary$66.1K - $83.8K a year
CategoryInformation Technology

Job description

What we do here changes the world. UTHealth Houston is Texas’ resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That’s where you come in.

UTHealth Houston Neurosciences is hiring for a Senior Credentialing Coordinator to join their team of professionals. The Senior Credentialing Coordinator will be responsible for:

  • Licenses and Certifications: ensure that providers maintain current credentials and licenses to work legally in their field/specialty. Oversight of licensing application process, coordinate with new applicants, state agencies, and institutional licensing divisions to ensure timely and efficient license acquisition and renewals. Monitor upcoming renewal dates and work with medical staff to advise them of the required steps to maintain/update their credentials.
  • Collect, organize, track, and manage items needed for multiple providers. Including but not limited to diplomas, certificates of completion, CE/CME courses, peer references, transcripts, etc.
  • Hospital Privileges: responsible for all aspects of privileging (initial and reappointments) for all clinical providers. Primary point of contact between the hospitals and our providers. Process applications, verify information, and research application details to ensure processes are in accordance with medical staff bylaws. Accurate, timely and documented verification of the information provided by the applicant and maintenance of the highly confidential credentialing-related files.

Previous experience in credentialing, provider relations or in obtaining hospital privileges at Memorial Hermann hospitals is a plus!


Location: Memorial Hermann Medical Plaza @ 6400 Fannin, Houston, Texas 77030

Once you join us you won't want to leave. It’s because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you’d expect from a top healthcare organization (benefits, insurance, etc.), plus:

  • 100% paid medical premiums for our full-time employees
  • Generous time off (holidays, preventative leave day, both vacation and sick time – all of which equates to around 37-38 days per year)
  • The longer you stay, the more vacation you’ll accrue!
  • Longevity Pay (Monthly payments after two years of service)
  • Build your future with our awesome retirement/pension plan!

We take care of our employees! As a world-renowned institution, our employees’ wellbeing is important to us. We offer work/life services such as...

  • Free financial and legal counseling
  • Free mental health counseling services
  • Gym membership discounts and access to wellness programs
  • Other employee discounts including entertainment, car rentals, cell phones, etc.
  • Resources for child and elder care
  • Plus many more!

Position Summary:

Responsible for supporting and coordinating all provider and physician credentialing activities. The Senior Credentialing Coordinator verifies that all policies and procedures associated with credentialing meets external accreditation, state regulatory requirements, and organizational requirements.


Position Key Accountabilities:

1. Coordinates, monitors and ensures that hospital and ASC privileging process for medical staff and allied health professionals for initial appointments, focused professional practice evaluations, ongoing professional practice evaluations, reappointment, change in status and or privileges and temporary privileges, are completed accurately.
2. Ensures state medical licenses are up-to-date and checks the status on new license applications. Ensures that all files are current and complete pursuant to expiration date of medical licenses, board certification, professional-liability insurance coverage, DEA, NPI, and other pertinent information. Tracks license and certification expirations for all providers to ensure timely renewals. Maintains database for providers to track credentialing and privileging. Compiles and maintains current and accurate data for all providers.
3. Maintains high quality, timely and accurate credentialing/privileging processes of medical and allied healthcare professionals.
4. Ensures status is communicated to appropriate parties e.g. Office of Communication, UT Physicians, Clinical Managers, etc. Works with appointed physicians to coordinate and maintain physician call schedule.
5. Meets with providers and representatives from provider’s office to gather, review and provide guidance, and assist with the completion of credentialing and privileging packets.
6. Works with and coordinates with UT Credentialing Department to process credentialing and re-credentialing applications for providers according to policies and procedures. Conducts credentialing audits and satisfaction surveys.
7. Submits vetted applications to delegated credentialing committee for approval. Monitors applications and follows-up as needed.
8. Continuously complies with HIPPA regulations and Compliance/Program Integrity requirements.
9. Performs other duties as assigned.

Certification/Skills:

Certified Professional Credentialing Specialist (CPCS) preferred
Current and thorough knowledge of all rules, laws, regulations, accreditation requirements and standards relevant to credentialing. Knowledgeable of NCQA, URAC, and Joint Commission standards and requirements of accreditation. Intermediate proficiency with MS Office software, including Word and Excel. Demonstrated effective written and oral communication skills. Ability to work independently and prioritize work, perform thorough investigation and follow through on issue resolution with minimal management intervention in a high paced environment. Excellent organizational skills.


Minimum Education:

Associates Degree in related field or equivalent experience in lieu of degree.


Minimum Experience:

Five (5) years of credentialing, database management, or medical staff coordination in managed care environment.


Physical Requirements:

Exerts up to 20 pounds of force occasionally and/or up to 10 pounds frequently and/or a negligible amount constantly to move objects.


Security Sensitive:

This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215

Residency Requirement:

Employees must permanently reside and work in the State of Texas.

Benefits

Health insurance, Paid time off, Employee discount, Gym membership
Refer code: 9125329. Uthealth Houston - The previous day - 2024-04-23 15:08

Uthealth Houston

Houston, TX
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