Credentialing Specialist

Network Credentialing Specialist

Were excited to announce the opening of our brand-new state-of-the-art hospital designed to deliver exceptional care and innovation in every aspect of patient health. As we prepare to open our doors were looking for passionate healthcare professionals and support staff to join our founding team. Now hiring across all departments apply today and be part of something extraordinary. Townsen Memorial Hospital is hiring for a Network Credentialing Specialist at our newest location in Houston, TX (77072). The Credentialing Specialist is responsible for leading, coordinating, monitoring, and maintaining the credentialing and re-credentialing process.

Essential Functions:

• 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 all 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, policy, and procedures.
• Assists with credentialing audits.
• Performs other related duties as assigned.

Knowledge, Skills, and Abilities:

• Knowledge and understanding of credentialing process.
• Proficient use of Microsoft Office applications (Word, Excel, Access) and internet resources.
• Ability to organize and prioritize work and manage multiple priorities.
• Excellent attention to detail, verbal and written communication skills including letters, memos, and emails.
• Ability to maintain positive, constructive, collaborative, cooperative, professional, friendly, and respectful working relationship with coworkers and supervisor.
• 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.

Benefits:

• 3 Medical Plans
• 2 Dental Plans
• 1 Vision Plan
• Employee Assistant Program
• Short Term Disability Program
• Accidental Death & Dismemberment Plan
• 401(k) with a 2-year vesting
• PTO + Holidays

Townsen Memorial Hospital is an accredited network of facilities with an emphasis on emergency care, outpatient surgery, and diagnostics and imaging. Our core mission is to provide compassionate, evidence-based patient care to those we serve. At Townsen Memorial we encompass diversity, dignity, and inclusiveness as a reflection of our core values. Townsen Memorial is committed to driving cutting-edge healthcare to our patients, our communities, and each other.

Compensation to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data. Employment for this position is contingent upon the successful completion of a background check and drug screening.