Top 13 Credentialing specialist Jobs in Houston Tx

Credentialing Specialist II
Parallon —Houston, TX
- Full-time
- 5 years
- Mid-level
- Experience equivalent to degree accepted
- Employee stock purchase plan
- Disability insurance
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10d
Assoc Client Services Rep (Credentialing Specialist/Provider Enrollment Specialist)
IQVIA —Houston, TX
- $37,400 - $93,600 a year
- Full-time
- Mid-level
- Office
- Continuous improvement
13d
HSPD-12: Government Badging & Credentialing Specialist (Houston, TX.*)
Citizant Inc —Houston, TX
- $18.29 an hour
- Full-time
- Administrative experience
- High school diploma or GED
- Organizational skills
- Disability insurance
- Health insurance
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Multi-State Licensure Specialist
Next Level Urgent Care —Houston, TX
- Microsoft Excel
- Microsoft Outlook
- Customer service
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Credentialing & Provider Enrollment Specialist
TEXAS HEARING INSTITUTE —Houston, TX
- $23 - $25 an hour
- Full-time
- Medical office experience
- Mid-level
- Office
Quick Apply
14d
Medical Credentialing Specialist
Boson Health —Houston, TX
- $20 - $24 an hour
- Full-time
- Microsoft Outlook
- Mid-level
- Organizational skills
- Disability insurance
- Health insurance
Quick Apply
1d
Medical Credentialing Specialist
Altus Community Healthcare —Houston, TX
- Full-time
- Research
- Mid-level
- Databases
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Credentialing Specialist
One Federal Solution —Houston, TX
- Customer service
- Mid-level
- Administrative experience
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Physician Credentialing Specialist
Texas Regional Physicians —Houston, TX
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Paid holidays
- Disability insurance
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Executive Assistant/Credentialing Specialist
Bee Busy Wellness Center —Houston, TX
- $45,000 - $55,000 a year
- Full-time
- 3 years
- Analysis skills
- Project management
- Health insurance
- Dental insurance
Quick Apply
2d
Credentialing and Enrollment Specialist
Senior PsychCare —Houston, TX
- Full-time
- Mid-level
- Office
- High school diploma or GED
- Paid holidays
- Disability insurance
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Based on your search for credentialing specialist jobs.

Credentialing Coordinator
Tyvan LLC —Houston, TX
Ensure compliance with accreditation standards (e.g., CIHQ, NCQA, & state regulations). This role ensures that all medical staff and providers maintain current,…
Credentialing Specialist II
Parallon —Houston, TX
Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of…
Quick Apply
10d

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Credentialing Specialist
Integrated Services for Behavioral Health —Columbus, OH
A valid driver's license and the ability to operate a motor vehicle is required. A bachelor’s degree in accounting, credentialing, or a related field is…
$23.85 - $28.02 an hour
Quick Apply
Provider Enrollment & Credentialing Subject Matter Expert (SME)
Brittany Wyche, LLC —Columbus, OH
Review current-state and future-state process designs. Support assessment of intake, validation, credentialing, approval/certification, monitoring, and…
$75 - $110 an hour
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10d

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Credentialing Specialist II

Parallon -
Houston, TX

Quick Apply

Job Details

Full-time
10 days ago

Benefits

Employee stock purchase plan
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Paid time off
Adoption assistance
Family leave
401(k) matching
Loan assistance
Life insurance

Qualifications

5 years
Mid-level

Full Job Description

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Credentialing Specialist II with Parallon you can be a part of an organization that is devoted to giving back!

Various Schedules based on business needs!

Job Summary and Qualifications

The Credentialing Processing Center Specialist II is responsible for safeguarding the patient well-being and elevating clinical excellence across our healthcare enterprise by meticulously ensuring hospitals and other healthcare facilities possess comprehensive, verified practitioner legally required credentials. This role is pivotal in empowering informed decisions regarding practitioner access, directly impacting the thousands of lives under our care daily.

In this role you will:

Mastery communication and regulatory guidelines, policies, procedures, and internal systems, coupled with keen insight into practitioner 350+ internal customers, plus external customers.
Forges collaborative partnerships with over 350+ healthcare facilities, customers, and stakeholders.
Mastered competency and acquired extensive experience through review of Data Integrity Reviews, Specialist Reviews, and Compliance Reviews, that supports precise accurate identification of potential practitioner issues and flagging of practitioner risk.
Adheres to stringent regulatory guidelines, Joint Commission Standards, Facility Bylaws and CPC standards.
Ensures the flawless, timely, and accurate credentialing of medical and allied healthcare providers, upholding the highest standards of quality
Mastered through experience and exposure to complex credentialing documents and verifications the competency to discern, identify and escalate practitioner risk concerns by utilizing the policies, procedures, verification elements, or regulatory guidelines as validation. In addition, competency, and experience that supports the identification of potential risk outside of policy requirements.
Orchestrates the comprehensive collection of all pertinent information, strategically managing follow-up for missing or incomplete documentation through effective communication and relationship building with practitioners and other external organizations.
Identifies and analyzes potential compliance flags and master the skill set through experience to collaborate with practitioners on sensitive issues and other external organization, such as drug addiction centers or anger management centers, to accurate document or resolve sensitive and confidential practitioner issues.
Mastered the ability to meticulously document resolution and/or unresolved complex issues and escalations as needed in practitioner files that may support future lawsuits.
Possesses expertise knowledge to contribute valuable insight into the strategic development and implementation of policy frameworks, and participates in comprehensive audits, ensuring regulatory adherence.
Provides strategic counsel to Managers and Directors regarding ambiguous information, and escalates critical issues identified during credentialing processes with expediency and precision.
Maintains meticulous credentialing records, guaranteeing the accurate scanning and secure storage of all correspondence within mandated timeframes.
Upholds unwavering compliance with all governing policies, procedures, and Federal and State regulatory and accrediting agency requirements.

Qualifications:

Associate’s degree or equivalent work experience. Bachelor’s degree preferred
5+ years’ experience in healthcare credentialling with Parallon or HCA required
Experience with Credentialing Accreditation by Joint Commission or National Committee for Quality Assurance, preferred.
Detailed working knowledge of the health care and credentialing industry, including medical-legal issues and laws, regulatory agencies, and other national standards preferred
NAMSS Certification preferred.
Remote employees are required to live within 60 miles of an HCA hospital
Remote employees are required to have wired (Cable or fiber) internet access with 25 MBS Download and 15 MBS Upload.

Benefits

Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
Wellbeing support, including free counseling and referral services
Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

Be a part of an organization that invests in you! We are reviewing applications for our Credentialing Specialist II opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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credentialing specialist jobs in houston tx

Credentialing Specialist II

Assoc Client Services Rep (Credentialing Specialist/Provider Enrollment Specialist)

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

Multi-State Licensure Specialist

Credentialing & Provider Enrollment Specialist

Medical Credentialing Specialist

Medical Credentialing Specialist

Credentialing Specialist

Physician Credentialing Specialist

Executive Assistant/Credentialing Specialist

Credentialing and Enrollment Specialist

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