All roles

Credentialing Specialist - REMOTE *TEXAS Residents Only*

Remote · USA Full-time New today

Credentialing Specialist - REMOTE Status: Full-time, Exempt Schedule: Mon-Fri Location: (Remote) Join us at Little Spurs! (Overview): Little Spurs Pediatric Urgent Care and Little Spurs Autism Centers is looking to add a Credentialing Specialist to our growing team! The Credentialing Specialist will be responsible for maintaining the credentialing database, all licensures, insurance, board certifications for Little Spurs healthcare providers. The Credentialing Specialist will work under the direction of the Central Business Office Manager to ensure effective operations and compliance with government/state regulations and UCA requirements. What You Need (Qualifications):

  • High School diploma or equivalent
  • Minimum 3 years provider credentialing experience
  • Ability to meet and confer in a professional manner with Physicians and Physician extenders
  • Bachelor's degree in health care administration, business management, or related field (preferred)
  • Knowledge of credentialing software and ability to navigate payor portals
  • Provider enrollment/reenrollment (CAQH, PECOS, PEMS, TMHP, etc.)
  • Intermediate level of proficiency with Excel, Word, Outlook and Adobe
  • Delegated credentialing experience (preferred)
  • Knowledge of federal and state regulatory requirements and accreditation standards (i.e., Joint Commission, NCQA, UCA, and CMS) (preferred)
  • CPCS or CPMSM (preferred) The Perks (Benefits):
  • Medical, Dental & Vision Benefits available employee, spouse, and dependents
  • Voluntary Short-Term & Long-Term Disability & Voluntary Life Insurance (Employee, Spouse, Children)
  • 401k with 4% company match on 5% employee contribution
  • 80 hours of PTO accumulated through the year; available for rollover
  • More PTO accrued after three and five years of service
  • No cost for in-house medical care for employee and dependent children
  • Employee recognition and appreciation programs Apply tot his job Apply To this Job

Apply tot his job Apply To this Job

Related roles

Senior Medical Staff Credentialing Coordinator- Medical Staff Services - Corporate - Full time Days - Remote

Remote · USA Full-time

Credentialing Specialist

Remote · USA Full-time

Insurance Verification Specialist I Full Time Remote

Remote · USA Full-time

US Healthcare Transport & Insurance Verification Coordinator | Remote -EST Hours

Remote · USA Full-time

Remote Patient Accounts Specialist: Insurance Verification

Remote · USA Full-time

Sr. Insurance Verification Representative

Remote · USA Full-time

HEDIS Review Nurse - Remote - Contract

Remote · USA Full-time

HEDIS Medical Record Analyst – TEMP, Multistate

Remote · USA Full-time

Insurance Verification & Authorization Supervisor

Remote · USA Full-time

Senior Specialist, Member & Community Interventions - HEDIS Quality (Remote in OH)

Remote · USA Full-time

NVTI General Instructor (1099 Independent Contractor)Remote

Remote · USA Full-time

Customer Experience Representative – Remote Part‑Time Contractor – Elevating Client Success for arenaflex

Remote · USA Full-time

Experienced Customer Service Representative – Virtual Support Role at arenaflex

Remote · USA Full-time

Software Engineer

Remote · USA Full-time

Clinical Documentation Improvement Specialist

Remote · USA Full-time

Partner Success Consultant - Commerce

Remote · USA Full-time

Remote Customer Experience Specialist – Customer Care & Client Success (Work From Home)

Remote · USA Full-time

Compliance Auditor, Domestic Content Adder

Remote · USA Full-time

Field Service Technician

Remote · USA Full-time

Experienced Customer Support Associate – Starlink Satellite Constellation

Remote · USA Full-time