The Credentialing Specialist will be responsible for the credentialing and recredentialing of all employed Kelsey-Seybold physicians and contracted affiliated providers. The functions include but are not limited to initial and recredentialing applications, mailing and tracking of all applications, primary source verifications, file production and maintenance, presentation at Credentialing Committee, internal and external communication of outcome reporting, liaison with designated payors regarding the delegation of credentialing/recredentialing to Kelsey-Seybold (initial assessments, onsite audits, corrective action plans and submission of monthly reports), hospital privileges, assist with credentialing subdelegations and tracking of licensure/certification expirations.
Job Title: Credentialing Specialist
Clinic Location: Pearland Administrative Office
Job Type: Full Time
Salary Range: $48,755- $60,237 (Pay is based on several factors including but not limited to education, work experience, certifications, etc.)
Required: High school diploma or equivalent from an accredited institution
Preferred: College Degree, Certification
Required: 2 – 3 years Credentialing experience with hospital application experience or managed care experience
Required: Proficient: Microsoft Access, Word and Excel
Preferred: Knowledge of AAAHC, NCQA and TDI credentialing standards, Midas Seeker
Required: Capable of sitting for extended periods of time
Preferred: Self starter who can work independently with minimal supervision
Working Environment: Office
Start your career journey and become a part of a community of renowned Healthcare professionals. Kelsey-Seybold Clinic is Houston’s fastest growing, multispecialty organization with more than 40 premier locations and over 65 specialties. Our clinics are comprised of more than 600 physicians and as we continue to grow, our focus is providing quality patient care by adding to our team of clinical and non-clinical professionals that work together in a convenient, coordinated, and collaborative manner. Enjoy the rewards of a successful career while maintaining a work/life balance by joining our team today and changing the way health cares.
Why Kelsey-Seybold Clinic?
Medical, Vision, and Dental
Company Matching 401K
Employee Reward and Recognition Program
Paid time off for vacation, sick, and holidays
Employee Assistance Program
Continuing Medical Education allowance