Jobs Posted on the Whova Community Board of TSMSS 45th Annual Conference
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Customer Service Credentialing Manager
Texas Credentialing Processing Center The Manager of Credentialing Processing Center in the Shared Services Division (SSD) should possess a strong background in data analysis and credentialing. This includes proactive... ly identifying issues, coordinating issue resolution, and monitoring events to determine educational opportunities. This also involves monitoring performance to identify best practices and working with the Credentialing Processing Center (CPC) Director to implement these across the operations. Additionally, this includes developing applicable credentialing policies and procedures and providing input related to Cactus credentialing system. This individual will play a key role in linking operations and systems (working closely with IT&S) in that these functions must be in sync in terms of compliance parameters. This individual is a liaison between the CPC, applicable HCA Corporate Departments (e.g., Legal, Quality Standards, and Information Technology & Services), and CPC personnel regarding credentialing issues. They will participate in Internal Audit and QRS processes (program development, resolution of issues, etc.) related to compliance in the CPCs and will work with the CPCs to address identified issues. This individual must demonstrate strong commitment to stakeholder relationships by taking ownership of issues and facilitating effective outcomes in a timely manner.
Link:https://careers.hcahealthcare.com/jobs/8355217-customer-service-credentialing-intake-managerSee More >>
The Hardenbergh Group So many MSPs ask us, "What is it like to be a contracted employee with Hardenbergh?" If you are considering a career move and desire flexibility in your schedule, great compensati... on, ability to travel and make a difference as an MSP -- please contact us! We would love to tell you more about the awesome opportunities (both remote and onsite) at Hardenbergh!
Link:https://www.hardenberghgroup.com/join-the-hardenbergh-networkSee More >>
Medical Staff Coordinator
Parkland Health Please join us! The Medical Staff Coordinator is responsible for the daily credentialing and privileging tasks for Parkland Health Medical Staff Services. (Hospital Based crede... ntialing and privileging.) Must have 3 years Credentialing experience to qualify. This position is mostly remote, but team members must be local for some in-person meetings and activities. (Hybrid)
Link:https://www.parklandcareers.com/job/Dallas-Medical-Staff-Coordinator-TX-75201/855636100/See More >>
Provider Enrollment Specialist II
Envision Physician Services Position Summary: We have an exciting opportunity for a Provider Enrollment Specialist II on our Emergency Medicine / Hospitalist Medicine team. The Provider Enrollment Special... ist II is responsible for completing defect-free and timely payor enrollment activities in support of clinicians joining Envision. The Provider Enrollment Specialist II will work in partnership with a dedicated, cross-functional team that supports onboarding services for a specified market or geography. This position requires a strong teamwork orientation, solid verbal and written communication skills, and stellar attention to detail. Software applications utilized by our Provider Enrollment Specialist II team includes: Evips, Emworks and the Microsoft Office Suite (Word, Excel, Outlook, PowerPoint), and browser-based applications. The Provider Enrollment Specialist II position could be on a hybrid remote or full remote schedule based upon location and Provider Enrollment experience. Responsibilities Knowledge of provider enrollment, credentialing, medical terminology, and insurance billing as demonstrated by work experience or education. Ability to communicate effectively in written and verbal communication. Evidence of the practice of a high level of confidentiality. We offer a comprehensive benefits package that includes full Medical, If you are ready to join an exciting, progressive company and have a strong work ethic, join our team of experts!
Link:https://careers-evhc.icims.com/jobsSee More >>
Director Provider Enrollment-Maintenance
Envision Physician Services Summary The Director of Enrollment is responsible for the daily operation of the Provider Enrollment Department and staff in the process of enrolling all providers with insuran... ce plans and agencies appropriate for their practice and the state in which they operate. Direct the management team and staff, to ensure that provider enrollment numbers are obtained enabling the company to bill provider charges in a timely manner. Primary responsibilities include personnel leadership, provider enrollment technical proficiency, effective and professional communication, disciplined execution of strategic initiatives, and relationship management.
Link:http://www.envisionhealth.com/careers/join-our-teamSee More >>
Medical Staff Services Specialist
UT Health East Texas Credentialing for multiple hospitals.
Medical Staff Coordinator
UT Health East Texas 1 position to cover 3 small facilities (CVO utilized)
Medical Staff Services Manager - The Woman’s Hospital of Texas - HCA
HCA Houston Healthcare This is posted online and ready for an experienced MSP applicant that wants to work within the Texas Medical Center, with wonderful leaders, in HCA.
I’ll forward applicant... s resumes over to the MSS Director as I am the Division Director for Gulf Coast HCA. See my email below.
Link:
None
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Remote Credentialing Licensing Specialist
Radiology Partners SUMMARY Radiology Partners is hiring a Licensing Credentialing Specialist. The position will report to the Manager, Credentialing and will be focusing on processing, monitorin... g and renewing licenses across our nationwide practice.
DUTIES AND RESPONSIBILITIES • Completes provider credentialing and re-credentialing licensing applications within State guidelines • Monitor provider license application statuses; conduct follow-up and problem resolution as needed • Coordinate with practice leadership, hospitals, and providers to complete licensing process, including any additional documentation, information, or applications • Track license and certification expirations for all providers to ensure timely renewals • Maintain accuracy of provider data in credentialing databases systems • Ensure strict confidentiality of credentialing licensing files and databases • Keep management informed of progress and escalate issues as needed related to license/DEA & CDS status • Uphold all credentialing specific policies and procedures • Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers • Completes renewal process for (DEA/CDS) controlled substance registrations and state licenses • Requests FSMB, FCVS, and AMA profiles when applicable • Coordinate completion of all requirement documents and forms for state licensure • Complete and review all license applications to ensure accuracy prior to submission • Sets up and maintains provider information in online credentialing databases and systems • Assists Radiologists through the licensing process • Supports with special projects. Preforms miscellaneous job-related duties as assigned
Link:https://phh.tbe.taleo.net/phh01/ats/careers/v2/viewRequisition?org=RADIPART&cws=37&rid=8877See More >>
Remote Hospital Credentialing Specialist
Radiology Partners SUMMARY Radiology Partners is hiring a Credentialing Specialist. The position will report to a credentialing manager and will be focusing on processing and maintaining provider... credentialing information for the entire business.
DUTIES AND 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 knowledge of hospital specific requirements for credentialing providers • Sets up and maintains provider information in online credentialing databases and systems • Tracks license and certification expirations for all providers to ensure timely renewals • Tracks license, DEA and professional liability expirations for appointed providers • Create and maintain Radiologist credentialing files • Research and obtain verifications of radiologist credentials • Coordinate with hospital/center and radiologists to complete credentialing process, including any additional documentation, verifications, references, and applications necessary • Complete and review all applications to ensure accuracy prior to submission
Link:https://phh.tbe.taleo.net/phh01/ats/careers/v2/viewRequisition?org=RADIPART&cws=37&rid=8789See More >>
Radiology Partners SUMMARY Radiology Partners is hiring a Hospital Credentialing Specialist. The position will report to a credentialing manager and will be focusing on processing reappointment a... pplications in an accurate and timely fashion.
DUTIES AND RESPONSIBILITIES • Compiles and maintains current and accurate data for all providers • Completes provider re-credentialing applications; monitors applications and follows-up as needed • Maintains copies of any required credentialing documents for all providers • Maintains knowledge of hospital specific requirements for credentialing providers • Sets up and maintains provider information in online credentialing databases and systems • Maintains Radiologists credentialing files • Research and obtain verifications of radiologist credentials • Coordinate with hospital/center and radiologists to complete the re-credentialing process, including any additional documentation, verifications, references, and applications necessary • Assists with initial credentialing as requested • Review all applications to ensure accuracy prior to submission
Link:https://phh.tbe.taleo.net/phh01/ats/careers/v2/viewRequisition?org=RADIPART&cws=37&rid=8600See More >>
Credentials Coordinator II
Envision Physician Services DUTIES AND RESPONSIBILITIES • Compiles and maintains current and accurate data for all providers • Completes provider re-credentialing applications; monitors applications an... d follows-up as needed • Maintains copies of any required credentialing documents for all providers • Maintains knowledge of hospital specific requirements for credentialing providers • Sets up and maintains provider information in online credentialing databases and systems • Maintains provider credentialing files • Research and obtain verifications of radiologist credentials • Coordinate with hospital/center and radiologists to complete the re-credentialing process, including any additional documentation, verifications, references, and applications necessary • Assists with initial credentialing as requested • Review all applications to ensure accuracy prior to submission
Link:https://EnvisionPhysicianServices.comSee More >>
Credentials Coordinator III
Envision Physician Services DUTIES AND RESPONSIBILITIES • Compiles and maintains current and accurate data for all providers • Completes provider re-credentialing applications; monitors applications an... d follows-up as needed • Maintains copies of any required credentialing documents for all providers • Maintains knowledge of hospital specific requirements for credentialing providers • Sets up and maintains provider information in online credentialing databases and systems • Maintains provider credentialing files • Research and obtain verifications of radiologist credentials • Coordinate with hospital/center and radiologists to complete the re-credentialing process, including any additional documentation, verifications, references, and applications necessary • Assists with initial credentialing as requested • Review all applications to ensure accuracy prior to submission
Link:https://careers-evhc.icims.comSee More >>
Medical Staff Credentialing Coordinator
St David’s Round Rock Medical Center Come work for HCA!
Link:
None
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Senior Medical Staff Coordinator (Support Services)
Parkland Health Do you want more exposure to Leadership, gain experience in medico-legal and governance? Want to stretch your skills beyond credentialing and privileging? This is the position for... you! Dynamic Team working 90% remote. Must be certified or within 1 year of hire. Must have a positive attitude, be adventurous and a strong critical thinker.
Link:
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Manager, Credentialing
Texas Health Physicians Group Oversees the supervision of personnel, which includes work allocation, training, promotion, enforcement and auditing of internal procedures and controls, and problem resolution; e... valuates performance and makes recommendations for personnel actions; motivates employees to achieve peak productivity and performance
Participates in special projects and/or performs other duties as assigned
Coordinates the management of the credentialing database and associated modules, ensuring accuracy of data and reporting to downstream systems; Monitors critical data for extensive analysis and report generation
Acts a resource and advocate for all THR initiatives, policies and procedures for designated staff
Maintains the timelines on enrollment and credentialing schedules, communicates with providers and other departments to update as needed and maintain a strict level of confidentiality for all matters pertaining to provider credentials
Texas Health Physicians Group The Delegated Credentialing Specialist is primarily responsible for maintaining credentialing files of all network providers, in accordance with NCQA, URAC, and applicable state a... nd health plan guidelines. Responsible for all aspects of the internal credentialing and recredentialing for THPG providers; to include ongoing monitoring, health plan audits, regulatory surveys.
Process delegated credentialing applications for both government/commercial health plan payers, and manage the ongoing participation requirements of the plans for all practitioners enrolled Facilitate presentation of credentialing and recredentialing to the Credentialing Committee and any other applicable approving body/authority; completes all post-approval notifications, data entry, and system updates Populate, maintain, and update the credentialing software to ensure accountability for the integrity of information enter into the system Assist with coordination of audit activity for certifications (NCQA, URAC) and third party audits (payors, self-insureds, carriers, etc.) for both initial and concurrent audits for delegated credentialing services; also includes monitoring program compliance with contractual terms and effective enforcement of operational provisions Validate the renewal of "Expirable" (e.g. board certifications, licenses, etc.) as needed 10% Collaborate with Credentialing team to establish policies and procedures for credentialing and re-credentialing standards of THPG; Ensure accuracy of source documentation and system logs related to credentialing activities; Monitor compliance with state and federal regulations and accreditation standards.
Link:https://jobs.texashealth.org/job/15560336/delegation-credentialing-specialist-dallas-tx/See More >>
Credentialing Coordinator
Cuero Regional Hospital Come work for a great organization! Go to www.cueroregionalhspital.org for complete job description and to apply.
