Credentialing Specialist

Overview

Join our team as a day shift, full-time, Credentialing Specialist in Tyler, TX.

Why Join Us?

Thrive in a People-First Environment and Make Healthcare Better

* Thrive:
We empower our team with career growth opportunities, tuition assistance, and resources that support your wellness, education, and financial well-being.

* People-First:
We prioritize your well-being with paid time off, comprehensive health benefits, and a supportive, inclusive culture where you are valued and cared for.

* Make Healthcare Better:
We use advanced technology to support our team and enhance patient care.

Get to Know Your Team:

* UT Health Tyler, the flagship hospital of the system, has 432 licensed beds specializing in advanced acute care medicine. Our hospital includes a 24-hour ER with Level 1 trauma center, a comprehensive stroke center, more than 500 physicians and a full complement of subspecialty groups.

Responsibilities

* Performs day-to-day credentialing functions UT Health East Texas Medical Staff Services which may include any hospital within the system.

* Assist in ensuring compliance with accrediting and regulatory agencies (TJC, CMS, NCQA, TDI) in regard to credentialing. Maintains a working knowledge of applicable statutes and laws.

* Assists by preparing files for surveys by said agencies.

* Assist in ensuring that clinical privileges performed are reflective of current services offered by the applicable facility.

* Maintains online privilege folders for assigned facilities with current privilege forms.

* Assist in ensuring that practitioners practice within the scope of their privileges and addresses and concerns immediately with manager.

* Provides support for the Medical Staff Director as needed.

* Ensures that all ongoing expirable are reviewed, obtained, and entered on a bi-monthly basis and notifies manager of any actions needed for any licenses, certification, or insurance that is not renewed as outlined by the Medical Staff Bylaws.

* Processes urgent files as needed by facilities by performing all credential checks necessary and prepare file for approvals in a timely manner.

* Demonstrates effective communication skills appropriate to a professional atmosphere.

* Maintains a high level of confidentiality at all times.

* Files all correspondence generated by committees, physicians, and others.

Qualifications

Job Requirements s:

* High school diploma or equivalent required

Preferred Qualifications:

* 1-2 years credentialing experience in hospital, clinic or managed care setting.

* NAMSS CPCS Certification