Credentialing Specialist

UT Health East Texas•Tyler, TX

22d•Onsite

About The Position

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.

Requirements

High school diploma or equivalent required

Nice To Haves

1-2 years credentialing experience in hospital, clinic or managed care setting.
NAMSS CPCS Certification

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.