Credentialing Specialist

Overview

Join our team as a day shift, full-time, Credentialing Specialist in Tyler, TX.

Thrive in a People-First Environment and Make Healthcare Better.

• Thrive:
  We empower our team with career growth opportunities, tuition assistance , and resources that support your wellness, education, and financial well-being.
• People-First:
  We prioritize your well-being with paid time off, comprehensive health benefits, and a supportive, inclusive culture where you are valued and cared for.
• Make Healthcare Better:
  We use advanced technology to support our team and enhance patient care.

• UT Health Tyler, the flagship hospital of the system, has 432 licensed beds specializing in advanced acute care medicine. Our hospital includes a 24-hour ER with Level 1 trauma center, a comprehensive stroke center, more than 500 physicians and a full complement of subspecialty groups.

• Performs day-to-day credentialing functions UT Health East Texas Medical Staff Services which may include any hospital within the system.
• Assist in ensuring compliance with accrediting and regulatory agencies (TJC, CMS, NCQA, TDI) in regard to credentialing. Maintains a working knowledge of applicable statutes and laws.
• Assists by preparing files for surveys by said agencies.
• Assist in ensuring that clinical privileges performed are reflective of current services offered by the applicable facility.
• Maintains online privilege folders for assigned facilities with current privilege forms.
• Assist in ensuring that practitioners practice within the scope of their privileges and addresses and concerns immediately with manager.
• Provides support for the Medical Staff Director as needed.
• Ensures that all ongoing expirable are reviewed, obtained, and entered on a bi-monthly basis and notifies manager of any actions needed for any licenses, certification, or insurance that is not renewed as outlined by the Medical Staff Bylaws.
• Processes urgent files as needed by facilities by performing all credential checks necessary and prepare file for approvals in a timely manner.
• Demonstrates effective communication skills appropriate to a professional atmosphere.
• Maintains a high level of confidentiality at all times.
• Files all correspondence generated by committees, physicians, and others.

Job Requirements:

• High school diploma or equivalent required

Preferred Qualifications:

• 1-2 years credentialing experience in hospital, clinic or managed care setting.
• NAMSS CPCS Certification