Credentialing Specialist

Responsibilities

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 sub delegations and tracking of licensure/certification expirations.

Job Title: Credentialing Specialist

Clinic Location: Pearland Administrative Office - This is an in-office position with the possibility of becoming hybrid after 90 days.

Department: Credentialing

Job Type: Full Time

Salary Range: $49,730 - $61,442 (Pay is based on several factors including but not limited to education, work experience, certifications, etc.)

Qualifications

Education

Required: High school diploma or equivalent from an accredited institution

Preferred: College Degree, Certification

Experience

Required: 2 - 3 years Credentialing experience with hospital application experience or managed care experience

Preferred: N/A

License(s)

Required: N/A

Preferred: N/A

Special Skills

Required: Proficient: Microsoft Access, Word and Excel

Preferred: Knowledge of AAAHC, NCQA and TDI credentialing standards, Midas Seeker

Other

Required: Capable of sitting for extended periods of time

Preferred: Self-starter who can work independently with minimal supervision

Working Environment: Office

About Us

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

• 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

Credentialing Specialist