Credentialing Coordinator

UT Health San Antonio•San Antonio, TX

About The Position

Under general supervision, the Credentialing Coordinator assures the proper credentialing and privileging of physicians, mid-level providers, research associates, professionals, and paraprofessional individuals. The role maintains and ensures compliance for providers’ licenses, appointments with state and governmental agencies, and certifications. It also tracks required continuing medical education courses and workshops.

Requirements

Ability to effectively serve customers’ needs.
Strong attention to detail and commitment to accuracy.
Ability to work independently under limited supervision.
Strong multitasking and organizational skills.
Accuracy and thoroughness, including monitoring own work for quality.
Strong organizational and time-management skills.
Proficiency in relevant software, such as the MS Office suite.
Strong verbal, written, and interpersonal communication skills.

Responsibilities

Guide providers through credentialing and re-credentialing, and ensure required documentation is completed for UT Health and facilities where providers deliver services.
Work with providers to prepare and submit Medicare and Medicaid applications to the enrollment office.
Prepare credentialing applications and supporting documentation not supplied by providers, and address requests for additional information or corrections.
Verify and track credentialing and re-credentialing for physicians, professionals, and paraprofessional individuals within UT Health and facilities where providers hold privileges.
Receive credentialing applications and enter data into the credentialing system.
Work with providers to maintain compliance for licenses, governmental appointments, and certifications; generate a monthly report of expiring credentials.
Monitor performance between credentialing cycles, generate performance review documentation, share it with departments for completion, and notify external entities of a provider suspension when necessary.
Work with departments to obtain proof of professional liability coverage.
Support monthly credentialing committee meetings as needed and provide the committee with reports on initial appointments and reappointments.
Notify providers and departments of credentialing status and final results; email notices and update the credentialing system, currently MD Staff, with final results.
Ensure the UT Health website accurately reflects providers’ credentials once they are cleared.
Track completion of required continuing medical education courses and workshops, and provide documentation to outside entities according to their requirements.
Respond to inquiries from providers, applicants, administrators, and hospitals, and provide documents to physicians or office staff who request copies.
Perform other duties as assigned.

Benefits

UT SELECT medical insurance offered free for employees, with family coverage available through payroll deduction.
Group term life insurance and basic accidental death and dismemberment insurance provided at no cost, with optional additional coverage available at group rates.
Three dental insurance plan options through Delta Dental: two PPO plans and one dental HMO plan.
Two vision plan options through Superior Vision Services.
Disability insurance enrollment option providing income protection for qualifying non-work-related illness or injury.
Flexible spending accounts for qualifying dependent care and out-of-pocket health care expenses.
Retirement plan eligibility through TRS or ORP, plus voluntary retirement programs.
Paid time off of 128 to 208 hours (16 to 26 days) based on years of service, front-loaded at the start of each fiscal year and potentially prorated in the first year.
Extended Illness Bank accrual of 8 hours per month.
Paid Family Leave of up to 240 hours (6 weeks) after 6 months of consecutive employment.
12 set paid holidays each year.
Discounts on services, tickets, and gym membership.