Top 9 credentialing specialist Jobs in austin tx

Credentialing & Privileging Specialist
People's Community Clinic —Austin, TX
- $21 - $26 an hour
- Full-time
- HIPAA
- Mid-level
- High school diploma or GED
- 403(b) matching
- Paid holidays
Medical Staff Credentialing Specialist
Oculus Pathology —Austin, TX
- From $22 an hour
- Weekends as needed
- Background check
- Medical office experience
- Mid-level
- Health savings account
- Health insurance
Quick Apply
Credentialing Specialist
Covenant Management Systems, L.P. —Austin, TX
- Hybrid work
- Computer literacy
- Medical office experience
- HIPAA
- Disability insurance
- Health insurance
2d
HSPD-12: Government Badging & Credentialing Specialist (Austin, TX*)
Citizant Inc —Austin, TX
- $39,000 - $48,400 a year
- Full-time
- Administrative experience
- High school diploma or GED
- Organizational skills
- Disability insurance
- Health insurance
Quick Apply
Lead Credentialing Specialist
Austin Radiological Association —Austin, TX
- Full-time
- Microsoft Excel
- Research
- Mid-level
- Paid holidays
- Paid time off
Quick Apply
The Provider Enrollment Subject Matter Expert
Logic —Austin, TX
- $50,800 - $131,300 a year
- Full-time
- Inventory management
- HIPAA
- Mid-level
- Paid holidays
- Disability insurance
1d
The Provider Enrollment Subject Matter Expert
Accenture —Austin, TX
- $50,800 - $131,300 a year
- Full-time
- Hybrid work
- HIPAA
- Mid-level
- Office
- Paid holidays
- Disability insurance
20h

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Credentialing & Privileging Specialist

People's Community Clinic -
Austin, TX

Apply Now

Job Details

Full-time
$21 - $26 an hour

Benefits

403(b) matching
Paid holidays
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Paid time off
Vision insurance
403(b)
Life insurance

Qualifications

Certified Provider Credentialing Specialist
High school diploma or GED

Full Job Description

Overview:

Supports the mission of People's Community Clinic by coordinating all aspects of the credentialing and/or re-credentialing process, as well as changes in privileges/specialty or demographic information for health care professionals practicing with People’s Community Clinic health centers. This position ensures health care professionals are appropriately credentialed and have privileges, including ongoing maintenance and verification of current information on file and within the credentialing database, and other duties required to maintain compliance with regulatory agencies and People’s Community Clinic policies and procedures.

Location: 1101 Camino La Costa, Austin, Texas, 78752

Compensation: $21.00- $26.00 per hour based on experience and qualifications

Responsibilities:

Under the supervision of the Clinical Quality & Risk Management Director, this individual’s primary responsibilities include:

Internal Credentialing & Privileging:

Reviews, screens, and completes initial credentialing and/or re-credentialing, and additional privilege request applications for completeness, accuracy, and compliance with federal, state, local, and People’s Community Clinic policies and procedures.
Perform and collect primary source verifications (PSV) of all credentialing elements and validate the information for accuracy.
Maintain credentialing and privileging files for all licensed and certified staff in compliance with Federal Tort Claims Act (FTCA) requirements.
Maintain and enter new applications in the credentialing database.
Work with the Chief Medical Officer to process applications for appointment and reappointment of privileges.
Track expirations and maintain current copies of licenses, certifications, DEA, board certifications, CPR training, and professional liability.
Provide consistent and timely follow-up on all outstanding credentialing/re-credentialing files.
Report issues in a timely manner to the Clinical Quality & Risk Management Director and the Chief Medical Officer, as necessary, for decision-making in accordance with credentialing and privileging policies.
Conduct required National Databank and OIG searches for new and current providers and coordinate with human resources for completion of required criminal background checks.
Identify opportunities to improve workflow, work processes, and patient care, and work cooperatively to implement those improvements.
Assist with the development and revision of relevant policies and procedures.

Other Job Responsibilities:

Responsible for the monthly ongoing monitoring of licenses and sanctions.
Respond to emails timely and effectively.
Provide support to physicians, physician office staff, and company departments as necessary.

Responsible for ensuring practitioners’ credentials are sent to the third-party payor enrollment contractor.
Prepare and maintain credentialing files and reports for all individual providers, including maintenance of credentialing software, provider rosters, and spreadsheets to comply with group delegation requirements, as required.
Answer questions, process requests from staff/providers related to credentialing information, and provide support as needed in all aspects of the credentialing process.

HIPAA:

Adhere to HIPAA guidelines.

Qualifications:

Education:

High School Diploma/GED
Bachelor’s or associate degree from an accredited college/university with a major in a related field may substitute for two years of the required experience.

Experience:

Two years of relevant credentialing experience; FQHC experience is a plus.

Knowledge, Skills, and Abilities:

Knowledge and understanding of the credentialing process.
Ability to organize and prioritize work and manage multiple priorities.
Excellent verbal and written communication skills, including letters, memos, and emails.
Excellent attention to detail.
Strong organizational, problem-solving, and critical thinking skills, and proactively prioritizes needs and effectively manages resources.
Ability to work independently with minimal supervision.
Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization.
Proficient use of Microsoft Office applications (Word, Excel, Access) and internet resources.
Ability to function effectively in a remote work environment.

Certification/Licensure:

Certified Provider Credentialing Specialist (CPCS) within the first 3 years of employment if not already certified upon hire.

Our Benefits Include:

18 PTO days per year & 11 paid holidays
Major Medical Health Insurance Coverage. Most employees experience $0 in out-of-pocket medical expenses.
Dental & Vision
Flexible Spending Accounts
Employer-paid Life Insurance
Employer-paid Short-Term and Long-Term Disability
Annual Training
403(b) with 5% employer matching

People’s Community Clinic is committed to equal employment opportunity regardless of race, color, national origin, religion, gender, sexual orientation, age, language, disability, pregnancy, gender identity or sex stereotyping.

Apply Now

Refine Your Search

credentialing specialist jobs in austin tx

Credentialing & Privileging Specialist

Medical Staff Credentialing Specialist

Credentialing Specialist

HSPD-12: Government Badging & Credentialing Specialist (Austin, TX*)

Lead Credentialing Specialist

The Provider Enrollment Subject Matter Expert

The Provider Enrollment Subject Matter Expert

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