- Reviews and screens initial and reappointment credentialing applications for completeness, accuracy, and compliance with federal, state, local and regulations, guidelines, policies, and standards.
- Conducts primary source verification, collects and validates documents to ensure accuracy of all credentialing elements; assesses completeness of information and qualifications relative to credentialing standards and STRCG/VASC/TVC criteria.
- Identifies, analyzes and resolves extraordinary information, discrepancies, time gaps and other idiosyncrasies that could adversely impact ability to credential and enroll practitioners; discovers and resolves problems and credentialing policies and procedures, federal, state, local and government/insurance agency regulations.
- Monitors files to ensure completeness and accuracy; reviews all file documentation for compliance with quality standards, accreditation requirements, and all other relevant policies; prepares and provides information to internal and external customers as appropriate.
- Enters, updates and maintains data from provider applications into credentialing database, focusing on accuracy and interpreting or adapting data to conform to defined data field uses, and in accordance with internal policies and procedures.
- Prepares, issues, electronically tracks and follows-up on appropriate verifications for efficient, high-volume processing of individual applications in accordance with applicable credentialing standards.
- Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest developments to enhance understanding of various regulations and legislation of the health care industry.
- Performs miscellaneous job-related duties as assigned.
- High school diploma or GED; at least two years of experience directly related to the duties and responsibilities specified.
- Ability to communicate effectively both orally and in writing.
- Customer service skills.
- Ability to respond to emails timely and effectively.
- Information research skills.
- Knowledge of medical provider credentialing and accreditation principles, policies, processes, procedures, and documentation.
- Ability to use independent judgment and to manage and impart confidential information.
- Ability to maintain confidentiality and discretion in all communications on behalf of credentialing applicants and/or applications.
- Ability to make decisions and judgments.
- Demonstrated advanced working knowledge of Microsoft Word and Excel.
- Advanced skills in computerized spreadsheeting and database manage
-
Credentialing Specialist
2 weeks ago
Giacare Inc San Antonio, United StatesJob Description · Job DescriptionJOB SUMMARY: · This is a highly interactive position that requires the ability to work independently and with a team in a time sensitive environment. This position requires an employee that is organized and capable of juggling multiple projects a ...
-
Credentialing Specialist
2 weeks ago
JVM Solutions San Antonio, United StatesJob Description · Job DescriptionJob Purpose: · Johnson Venture Management Solutions is seeking a motivated and detail-oriented Credentialing Specialist to join our team. The ideal candidate will possess strong organizational skills, exceptional communication abilities, and a pro ...
-
Credentialing Specialist
1 week ago
Gonzaba Medical Group San Antonio, United StatesGeneral Summary: The Credentialing Specialist is responsible for managing and maintaining the credentialing data for our healthcare providers in the credentialing database, ensuring accuracy and compliance with regulatory requirements. This role will be involved in all aspects of ...
-
Credentialing Specialist
3 weeks ago
South Texas Renal Care Group San Antonio, United StatesSOUTH TEXAS RENAL CARE GROUP · 215 N San Saba Ste 206, San Antonio TX 78207 · Credentialing Specialist · Summary · Evaluates, analyzes, and coordinates all aspects of the credentialing and recredentialing processes for practitioners practicing within STRCG, and VASC clinical ent ...
-
Credentialing Specialist
1 week ago
JVM Solutions San Antonio, United StatesJob Purpose: · Johnson Venture Management Solutions is seeking a motivated and detail-oriented Credentialing Specialist to join our team. The ideal candidate will possess strong organizational skills, exceptional communication abilities, and a proactive attitude. This position wi ...
-
Specialist, Credentialing
3 weeks ago
Mpower Health San Antonio, United StatesOverview: · About MPOWERHealth: · For over a decade, MPOWERHealth has supported the independent musculoskeletal physician with best-in-class clinical services, back-office solutions, and advanced technology. We pride ourselves on being a partner that offers foresight to custome ...
-
Credentialing Specialist/Office Adminstrator
3 weeks ago
Alamo Physician Services Pllc San Antonio, United StatesJob Description · Job DescriptionHospitalist group in search of an experienced candidate to perform the following: · Provide confidential administrative services for all health services · Assist with health plan/hospital/facility provider enrollments, renewing licenses, creating, ...
-
Locum Physician
1 week ago
LocumJobsOnline San Antonio, United States Full timeLocumJobsOnline is working with CompHealth to find a qualified Vascular Surgery MD in San Antonio, Texas, 78205 · About The Position · Though your CompHealth recruiter will be your single point of contact, they're backed by dozens of specialized teams, giving them the ability to ...
-
Locum Physician
4 days ago
LocumJobsOnline San Antonio, United States Full timeLocumJobsOnline is working with CompHealth to find a qualified Neurology MD in Dallas, Texas, 75246 · About The Position · Interested in this assignment? Or maybe you still haven't found what you're looking for? Contact one of our specialty-specific recruiters to get access to ou ...
-
Coding Educator and Auditor
6 days ago
University Health San Antonio, United States Full timeHybrid Schedule · Why you should apply: · We offer a flexible workplace and the ability to work from home (hybrid schedule), upon meeting certain criteria. · We embrace a life-long learning approach and provide ongoing training · Horizontal management-employee relationship. · Co ...
-
l&d rn
4 weeks ago
Go Healthcare Staffing San Antonio, United States· Our client in San Antonio TX has a 12HR DAY travel position for an RN with current L&D experience. · The ideal candidate must have at least 2 years of experience, with active RN license and BLS and/or ACLS (if required) certified by the American Heart Association · What make ...
-
Occupational Therapist Therapist
5 days ago
Go Healthcare Staffing San Antonio, United States· Our client in San Antonio TX has a 8HR DAY travel position for an Therapist with current Occupational Therapist experience. · The ideal candidate must have at least 2 years of experience, with active Therapist license and BLS and/or ACLS (if required) certified by the America ...
-
l&d rn
6 days ago
Go Healthcare Staffing San Antonio, United States· Our client in San Antonio TX has a 12HR NIGHT travel position for an RN with current L&D experience. · The ideal candidate must have at least 2 years of experience, with active RN license and BLS and/or ACLS (if required) certified by the American Heart Association · What ma ...
-
Clinical Documentation Specialist
2 weeks ago
Christus Health San Antonio, United States· Summary: · The Clinical Documentation Specialist (CDS) position isresponsible for facilitating improvement in the overall quality andcompleteness of the medical record documentation. The CDS willprovide support and expertise through comprehensive assessment andreview of inpati ...
-
Clinical Documentation Specialist
2 weeks ago
Christus Health San Antonio, United States· Summary: · The Clinical Documentation Specialist (CDS) position isresponsible for facilitating improvement in the overall quality andcompleteness of the medical record documentation. The CDS willprovide support and expertise through comprehensive assessment andreview of inpati ...
-
Clinical Documentation Specialist
3 weeks ago
CHRISTUS Childrens Hospital San Antonio, United States Part timeJob Description · Summary: · The Clinical Documentation Specialist (CDS) position is responsible for facilitating improvement in the overall quality and completeness of the medical record documentation. The CDS will provide support and expertise through comprehensive assessment ...
-
Optum San Antonio, United StatesA partner of the Optum Care network, WellMed Networks, Inc, is seeking a nurse practitioner or physician assistant to join our San Antonio Hospitalist Team in our Downtown Pod. At Optum, we are transforming healthcare nationally while providing Physician-led care locally. Join us ...
-
Locum Certified Registered Nurse Anesthetist
1 week ago
LocumJobsOnline San Antonio, United States Full timeLocumJobsOnline is working with to find a qualified Anesthesiology CRNA in Corpus Christi, Texas, 78401 · About The Position · A busy hospital is seeking a CRNA for locum tenens coverage. · Come visit the secret beach of Corpus Christi, Texas Most people don't think to head to T ...
-
APP Hospitalist
4 weeks ago
UT Health San Antonio San Antonio, United StatesAPP Hospitalist - Specialist (Nocturnist) Faculty School of Medicine Requisition The University of Texas Health Science Center at San AntonioJoe R. and Teresa Lozano Long School of MedicineDepartment of MedicineHospital Medicine - Specialist PA/NP (Nocturnist) The Division ...
-
Optometrist (Open Rank)
6 days ago
UT Health San Antonio San Antonio, United StatesOptometrist (Open Rank) Faculty School of Medicine Requisition POSITION AVAILABLE: · Specialty - OD · Department of Ophthalmology · Position: Optometrist · Rank: Open (Assistant, Associate, or Professor) · The Department of Ophthalmology in the Joe R. and Teresa Lozano Long ...
Credentialing Specialist - San Antonio, United States - South Texas Renal Care Group
Description
Job Description
Job DescriptionSOUTH TEXAS RENAL CARE GROUP
215 N San Saba Ste 206, San Antonio TX 78207
Credentialing Specialist
Summary
Evaluates, analyzes, and coordinates all aspects of the credentialing and recredentialing processes for practitioners practicing within STRCG, and VASC clinical entities. Will also be responsible for ancillary credentialing for TVC entity.
Duties and Responsibilities
Minimum Job Requirements
Knowledge, Skills and Abilities Required
