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UT Health Credentialing Coordinator in Texas Medical Center-Houston, Texas

Credentialing Coordinator

Texas Medical Center-Houston, Texas

Hot

Healthcare Support Services

McGovern Medical School at UTHealth

Requisition #: 2100035N

Position Summary:

This position is responsible for supporting and coordinating all provider and physician credentialing activities. The Credentialing Coordinator verifies that all policies and procedures associated with credentialing meets external accreditation, state regulatory requirements, and organizational requirements.

Position Key Accountabilities:

  1. Conducts credentialing and re-credentialing related activities.

  2. Monitors and maintains credentialing databases and files for practitioners and providers.

  3. Facilitates applications and re-applications for providers per company and state requirements.

  4. Communicates with providers in a timely manner regarding status of credentialing via written or verbal communication.

  5. Maintains additions, changes, and terminations in credentialing database.

  6. May facilitate new provider orientation and onboarding.

  7. May manage policies and procedures associated with provider credentialing.

  8. Conducts credentialing audits and satisfaction surveys.

  9. Effectively communicates with all stakeholders.

  10. Continuous compliance with HIPPA regulations and Compliance/Program Integrity requirements.

  11. Performs other duties as assigned.

Certification/Skills:

Certified Professional Credentialing Specialist (CPCS) preferred

Current and thorough knowledge of all rules, laws, regulations, accreditation requirements and standards relevant to credentialing. Knowledgeable of NCQA, URAC, and Joint Commission standards and requirements of accreditation. Proficiency (intermediate) with MS Office software, Word, Excel. Demonstrated effective written and oral communication skills.

Minimum Education:

Associates Degree in related field or equivalent experience in lieu of degree.

Minimum Experience:

3 years of credentialing, database management, or medical staff coordination in managed care environment.

Physical Requirements:

Exerts up to 20 pounds of force occasionally and/or up to 10 pounds frequently and/or a negligible amount constantly to move objects.

Security Sensitive:

This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215

If you are looking for a great healthcare career in Houston, visithttp://go.uth.edu/careers!

University of Texas Health Science Center at Houston (UTHealth)

Established in 1972 by The University of Texas System Board of Regents, The University of Texas Health Science Center at Houston (UTHealth) is Houston’s Health University and Texas’ resource for health care education, innovation, scientific discovery and excellence in patient care. The most comprehensive academic health center in the UT System and the U.S. Gulf Coast region, UTHealth is home to schools of biomedical informatics, biomedical sciences, dentistry, nursing and public health and the John P. and Kathrine G. McGovern Medical School. UTHealth includes The University of Texas Harris County Psychiatric Center, as well as the growing clinical practices UT Physicians, UT Dentists and UT Health Services. The university’s primary teaching hospitals are Memorial Hermann-Texas Medical Center, Children’s Memorial Hermann Hospital and Harris Health Lyndon B. Johnson Hospital.

UTHealth Benefits

UTHealth offers a comprehensive and competitive benefits package. For more information on our benefits programs please refer to the UTHealth Office of Benefits Website.

https://www.uth.edu/benefits/benefits-summary.htm

Equal Employment Opportunity Statement

UTHealth is committed to providing equal opportunity in all employment-related activities without regard to race, color, religion, sex, sexual orientation, national origin, age, disability, genetic information, gender identity or expression, veteran status or any other basis prohibited by law or university policy. Reasonable accommodation, based on disability or religious observances, will be considered in accordance with applicable law and UTHealth policy. The University maintains affirmative action programs with respect to women, minorities, individuals with disabilities, and eligible veterans in accordance with applicable law.

COVID-19 Protocol

As you may already know, UTHealth recently decided to take an important and necessary step to protect members of our community against COVID-19 by making COVID-19 vaccinations mandatory for all employees, residents, fellows, contractors, and volunteers. Individuals subject to the vaccination requirement must be fully vaccinated on or by January 4th, 2022. Additionally, all members of our community—including students and visitors—are required to comply with our new COVID-19 Workplace Safety Protocol, which contains masking and physical distancing requirements that applies in certain settings depending on the individual’s vaccination status.

In addition, all UTHealth employees who are assigned to work at a location that is subject to the affiliated partner’s hospital, clinical offices, or agency are required to abide by UTHealth’s rules and regulations, as well as the affiliate’s rules and regulations, including COVID-19 vaccination requirements.

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