Healthcare Credentialing Specialist
3.
7 Houston, TX Houston, TX Full-time Full-time $47,840 - $52,000 a year $47,840 - $52,000 a year 3 days ago 3 days ago 3 days ago Provider Network (Credentialing) Specialist Overview:
The Provider Network Specialist processes credentialing and re-credentialing applications for health care providers.
Review, verify, and assist with credentialing applications.
Tracks license and certification expirations for all providers to ensure timely renewals.
Ensures medical staff members maintain current credentials and licenses to work legally in their field or specialty.
The PNS sets up and maintains provider information in Clay Consulting's credentialing database system.
Responsibilities:
The following reflects management's definition of essential functions for this job but does not restrict the tasks that may be assigned.
Management may assign or reassign duties and responsibilities to this job at any time with reasonable accommodation.
Credentialing and re-credentialing providers within clinics in which they hold staff privileges.
Apply for and renew all provider licenses annually.
Maintain accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases.
Complete credentialing and re-credentialing applications to add providers to commercial payers.
Complete revalidation requests issued by government payers.
Work closely with the billing department to identify and resolve any denials or authorization issues related to provider credentialing.
Answering office phones to assist with credentialing or travel requests or direct them to the appropriate individual.
Manage travel arrangements for providers traveling to and from various clinics.
Manage PracticeSuite upkeep and maintenance.
Create and update records (provider schedule and availability), ensuring accuracy and validity of information.
Manage and upkeep required OSHA, HIPAA and other trainings for medical staff as required by Clay Consulting.
Keeping documents, records and files organized.
Other duties as assigned.
Requirements and Skills:
High School Diploma or GED Bachelor's degree or equivalent work experience Preferred Two years of credentialing work experience Proficient in Microsoft Office365 Critical thinking and problem-solving skills Detail oriented with above average organization skills Ability to properly maintain confidential information Plans and prioritizes to meet deadlines What We Offer:
Pay:
$47,840.
00 - $52,000.
00 Monday - Friday day shift! No nights or weekends.
A Wealth of benefits
perks! Paid time off:
Eleven holidays, ten paid days.
Health Benefits Health Insurance Dental Vision 401(k) Free lunch every other Friday Physical Requirements:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to REGULAR PHYSICAL REQUIREMENTS.
The employee is frequently required to walk; use hands to finger, handle, or feel and reach with hands and arms.
The employee is occasionally required to stand; climb or balance and stoop, kneel, crouch, or crawl.
The employee must occasionally lift and/or move up to 25 pounds.
Additional Information:
This job description in no way states or implies that these are the only duties to be performed by the employee filling this position.
Employee will be required to follow any other job-related instructions and to perform any other job-related duties requested by management.
Management has the right to add to, revise, or delete information in this job description.
Reasonable accommodation will be made to enable qualified individuals with disabilities to perform the essential functions of this position.
.
Estimated Salary: $20 to $28 per hour based on qualifications.
7 Houston, TX Houston, TX Full-time Full-time $47,840 - $52,000 a year $47,840 - $52,000 a year 3 days ago 3 days ago 3 days ago Provider Network (Credentialing) Specialist Overview:
The Provider Network Specialist processes credentialing and re-credentialing applications for health care providers.
Review, verify, and assist with credentialing applications.
Tracks license and certification expirations for all providers to ensure timely renewals.
Ensures medical staff members maintain current credentials and licenses to work legally in their field or specialty.
The PNS sets up and maintains provider information in Clay Consulting's credentialing database system.
Responsibilities:
The following reflects management's definition of essential functions for this job but does not restrict the tasks that may be assigned.
Management may assign or reassign duties and responsibilities to this job at any time with reasonable accommodation.
Credentialing and re-credentialing providers within clinics in which they hold staff privileges.
Apply for and renew all provider licenses annually.
Maintain accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases.
Complete credentialing and re-credentialing applications to add providers to commercial payers.
Complete revalidation requests issued by government payers.
Work closely with the billing department to identify and resolve any denials or authorization issues related to provider credentialing.
Answering office phones to assist with credentialing or travel requests or direct them to the appropriate individual.
Manage travel arrangements for providers traveling to and from various clinics.
Manage PracticeSuite upkeep and maintenance.
Create and update records (provider schedule and availability), ensuring accuracy and validity of information.
Manage and upkeep required OSHA, HIPAA and other trainings for medical staff as required by Clay Consulting.
Keeping documents, records and files organized.
Other duties as assigned.
Requirements and Skills:
High School Diploma or GED Bachelor's degree or equivalent work experience Preferred Two years of credentialing work experience Proficient in Microsoft Office365 Critical thinking and problem-solving skills Detail oriented with above average organization skills Ability to properly maintain confidential information Plans and prioritizes to meet deadlines What We Offer:
Pay:
$47,840.
00 - $52,000.
00 Monday - Friday day shift! No nights or weekends.
A Wealth of benefits
perks! Paid time off:
Eleven holidays, ten paid days.
Health Benefits Health Insurance Dental Vision 401(k) Free lunch every other Friday Physical Requirements:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to REGULAR PHYSICAL REQUIREMENTS.
The employee is frequently required to walk; use hands to finger, handle, or feel and reach with hands and arms.
The employee is occasionally required to stand; climb or balance and stoop, kneel, crouch, or crawl.
The employee must occasionally lift and/or move up to 25 pounds.
Additional Information:
This job description in no way states or implies that these are the only duties to be performed by the employee filling this position.
Employee will be required to follow any other job-related instructions and to perform any other job-related duties requested by management.
Management has the right to add to, revise, or delete information in this job description.
Reasonable accommodation will be made to enable qualified individuals with disabilities to perform the essential functions of this position.
.
Estimated Salary: $20 to $28 per hour based on qualifications.
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