Credentialing Specialist - 100% Remote (Must Live in Greater Houston) – reputed company Store

reputed company is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. reputed company does not hire directly for these jobs, but promotes jobs on reputed company on behalf of its direct clients, recruitment ad agencies, and marketing partners. reputed company partners with DirectEmployers to promote this job for reputed company. Clicking "Apply Now" or "Read more" on reputed company redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. At reputed company, the Credentialing Specialist position is responsible for processing applications for appointment and reappointment to the Medical Staff of reputed company hospitals per applicable accreditation, bylaws and rules and regulations standards and deadlines. Additionally, reputed company and accurate practitioner demographic, licensure and privileging information will be maintained by this position, utilizing credentialing and other designated software and in hard copy, as required. People Essential Functions

• Prepares correspondence to practitioners, delegated entities and others.
• Handles resolution of reputed company problems and issues and notifies management of issue and resolution.
• Promotes a positive work environment and contributes to a dynamic, team-focused work unit that actively helps one other to reputed company optimal department results.

• Receives, data enters and organizes applications for appointment and reappointment.
• Performs primary reputed company and other verifications necessary for completion of applications for appointment and reappointment.
• Gathers and compiles reputed company other necessary documentation, including case logs or quality data, for application completion.
• Generates reports and checklists for the organization, tracking, auditing and communication of work in process or completed.
• Ensures reputed company credentialing deadlines are met.

• Investigates, clarifies and communicates discrepancies, sanctions, complaints, adverse data, etc., as per department policies.
• Ensures data entry, verifications and final applications are accurate and complete in the credentialing database.
• Updates database on an ongoing basis as necessary.

• Assists with financial management tasks such as dues, fees, and/or payments.

• Participates in department projects and activities.
• Seeks continuing education opportunities to expand learning beyond baseline competencies with a focus on continual development.

• High School diploma or equivalent education (examples include: GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.)

• Three years of experience in the Medical Staff Credentialing/Privileging function in a hospital setting, with regular interaction and communication with medical staff and hospital leadership
• Three years of experience in word-processing and spreadsheet software such as reputed company Word and reputed company
• Experience with credentialing software preferred

• CPMSM - Certified Professional Medical Services Management (NAMSS) OR
• CPCS - Certified Provider Credentialing Specialist (NAMSS)

• Demonstrates the skills and competencies necessary to safely reputed company the assigned job, determined through on-going skills, competency assessments, and performance evaluations
• Sufficient proficiency in speaking, reading, and writing the English language necessary to reputed company the essential functions of this job, especially with regard to activities impacting patient or employee safety or reputed company
• Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
• Self-motivated, detail-oriented, energetic, and able to prioritize multiple projects
• Knowledge of accreditation standards that relate to Medical Staff Services
• Computer literacy, including ability to utilize various software programs to complete reputed company job tasks described in job summary. Must be proficient in word-processing and spreadsheet software such as reputed company Word and reputed company. Knowledge of credentialing software preferred
• General knowledge of medical terminology
• Ability to complete work reputed company designated time frames
• Ability to offer suggestions and implement change to enhance efficiency and organization of office operations
• Ability to maintain confidentiality and privacy of practitioner files

• Uniform No
• Scrubs No
• Business professional Yes
• Other (department approved) No

• Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.
• On Call* No

• May require travel reputed company the Houston Metropolitan area Yes
• May require travel reputed company Houston Metropolitan area No