Medical Staff Credentialing Specialist, Sr. jobs in Houston, TX

This position entails communicating directly with the providers in person, via email and/or via phone, as well as hospitals and/or insurance companies. You will be responsible for enrolling and maintaining the participation status of the providers with hospitals and/or insurance companies, as well as verifying demographic information and providing up to date licensures to ensure the most accurate information is on file for the providers.

Responsibilities and Duties:

· Communicate with provider to obtain all documents necessary to credential

· Contact insurances and/or hospitals to initiate the application process

· Complete and submit hospital and/or insurance applications with all necessary signatures and applicable documents

· Communicate with the insurances and/or hospitals to follow up on the status of applications

· Complete and submit Electronic Remittance Advice and Electronic Funds Transfer forms

· Update and distribute Network List monthly

· Transfer letters in notes, scan and file

· Input detailed notes of daily activity in spreadsheet

· Verify, complete & submit provider demographic forms to insurances

· Send out updated licensures upon renewal to insurances and/or hospitals

· Maintain email volume, work in a timely manner

· Answer phone, attend call and/or route as needed

Qualifications:

• High School Diploma
• 6 months credentialing experience

Skills:

· Microsoft word, Excel, Outlook

• Basic computer skills
• Multi-tasking abilities
• Detail-oriented
• Able to work fast pace
• Self-motivated
• Positive attitude
• Professional personality
• Organization
• Follow-up skills
• Able to handle high volume workload
• Customer Service
• Good Communication

Job Type: Full-time

Benefits:

• Dental insurance
• Health insurance

Schedule:

• 8 hour shift

Work Location: In person