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Credentialing Specialist (On site) | Credentialing Specialist in Job Job at Premier Medical Resour1

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Credentialing Specialist (On site)

Location:
Houston, TX
Description:

Premier Medical Resources is looking to add a Credentialing Specialist to our growing team in the Jersey Village area (77040)! This position is responsible for leading, coordinating, monitoring and maintaining the credentialing and re-credentialing process. RESPONSIBILITIES: Compiles and maintains current and accurate data for all providers Completes provider credentialing and re-credentialing applications monitors applications and follows-up as needed Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers Maintains corporate provider contract files Maintains knowledge of current credentialing processes for al providers Sets up and maintains provider information in online credentialing databases and systems Tracks licenses and certification expirations for all providers to ensure timely renewals Processes applications for appointment and reappointment of privileges to the facility Maintains facility appointment files, and information in credentialing database Identifies issues that require additional investigation and evaluation, validates discrepancies and ensures appropriate follow up Ensures compliance with Medical Staff Bylaws, Rules and Regulations, and policy and procedures Assists with credentialing audits Maintains positive, constructive, collaborative, cooperative professional friendly and respectful working relationship with coworkers and supervisor. Keeps behaviors, communications and other outward expressions regarding the facility in a positive manner. Meets the expectations of dress and appearance standards REQUIREMENTS: Knowledge and understanding of credentialing process Ability to organize and prioritize work and manage multiple priorities Excellent verbal and written communication skills including letters, memos, and emails Excellent attention to detail Ability to research and analyze data Ability to work independently with minimal supervision Ability to establish and maintain effective working relationships with providers, management, staff and contacts outside the organization Proficient use of Microsoft Office applications (Word, Excel, Access) and internet resources High school diploma or equivalent, Associate degree preferred Certified Provider Credentialing Specialist (CPCS) preferred Two years of relevant credentialing experience preferred BENEFITS: Medical, Dental, Vision through Blue Cross Blue Shield 401k PTO WORK WEEK SCHEDULE: Monday- Friday | 8:00 AM -5:00 PM Premier Medical Resources, LLC is a healthcare management company that provides services to a network of healthcare clinics and hospitals around Texas. These services include staffing, logistics, operations, human resources, billing, accounts receivable, legal, IT, scheduling, and more. Job Posted by ApplicantPro
Company:
Premier Medical Resources
Posted:
January 25 on ApplicantList
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