Wilmington, North Carolina
East Texas, Texas
Miami, Florida
Posted: 08-May-23
Location: Pearland, Texas
Type: Full Time
Categories:
Sector:
Preferred Education:
Internal Number: 5513
Credentialing Specialist
Kelsey-Seybold Clinic, a Houston tradition in patient-centered care, is a multispecialty clinic with over 40 locations and comprises more than 700 physicians providing primary and specialty care in a collaborative manner.
With 65 different clinical and non-clinical specialties, you can design a career path at Kelsey-Seybold Clinic that allows you to grow your future in a completely new direction.
The Credentialing Specialist will be responsible for the credentialing and re-credentialing of all Physicians Group of Texas (PGT) contracted physicians, ancillary providers, and hospitals. The functions include but are not limited to initial and re-credentialing tracking of all applications, primary source verifications, file production and maintenance, presentation at Credentialing Committee, and internal and external communication of outcome reporting. This position will also work with delegated entities on initial assessments, onsite audits, corrective action plans, and submission of monthly reports.
Consider Kelsey-Seybold Clinic
- Medical, Vision, and Dental
- Tuition Reimbursement
- Company Matching 401K
- Employee Reward and Recognition Program
- Paid time off for vacation, sick, and holidays
- Employee Assistance Program
- Continuing Medical Education allowance
- Free Parking
If you want a satisfying career and a rich, rewarding personal life, don’t choose between them.
Achieve them both at Kelsey-Seybold Clinic.
For more information, please contact Mario Lynch at mario.lynch@kelsey-seybold.com or call (713) 442-0912.
Kelsey-Seybold Clinic strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by organizational policy or by federal, state, or local laws unless such distinction is required by law. Kelsey-Seybold is a VEVRAA Federal Contractor and desires priority referrals of protected veterans.
Qualifications include:
- High school diploma or equivalent from an accredited institution
- 2-3 years of credentialing experience with a health plan, physician group, or hospital.
- Demonstrated knowledge of CMS, TDI, and NCQA criteria for credentialing and delegation.
- Knowledge of CMS rules and regulations and process improvement methodology
- Proficiency in Microsoft Access, Word, and Excel
- Excellent written and verbal communication skills
