Credentialing & Payer Enrollment Specialist
CommonSpirit Health, Houston, Texas, United States, 77246
Credentialing & Payer Enrollment Specialist
Verifies the credentials of physician and allied health professional applicants and re-applicants, and prepares the candidates for review by the appropriate clinical Service Chief and Medical Staff Committees. Manages the process of sending initial and/or reappointment applications and monitoring their return with required documents. Responsible for processing appointment/reappointment applications in an accurate, thorough, and timely manner; clearly and succinctly communicate reappointment status to applicant in writing. Files appointment/reappointment applications and other communication as needed. Prepares files other documents, as requested, for review and evaluation of the clinical Service Chief and Credentials Committee in an accurate, consistent, professional, and organized manner. Performs 3rd party verifications of submitted material as required by department policy, medical staff policy, and the Bylaws of the Medical Staff. Documents receipt of application materials and verifications in the credentialing system (ECHO) (e.g. Texas Medical License, Malpractice Insurance, DEA, Board Certification, DPS, etc.). Files copy in physician's file. Ensures all credentialing-related information is accurate and up to date in the ECHO system and in the applicant files. With the assistance of the Supervisor, utilizes Echo to run reports and makes certain all certifications and other tracked information as required is up to date and accurate. High School Diploma/GED required. Baylor St. Luke's Medical Center is an 881-bed quaternary care academic medical center that is a joint venture between Baylor College of Medicine and CHI St. Luke's Health. Located in the Texas Medical Center, the hospital is the home of the Texas Heart Institute, a cardiovascular research and education institution founded in 1962 by Denton A. Cooley, MD. The hospital was the first facility in Texas and the Southwest designated a Magnet hospital for Nursing Excellence by the American Nurses Credentialing Center, receiving the award five consecutive times. Baylor St. Luke's also has three community emergency centers offering adult and pediatric care for the Greater Houston area. Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit our Total Rewards page.
Verifies the credentials of physician and allied health professional applicants and re-applicants, and prepares the candidates for review by the appropriate clinical Service Chief and Medical Staff Committees. Manages the process of sending initial and/or reappointment applications and monitoring their return with required documents. Responsible for processing appointment/reappointment applications in an accurate, thorough, and timely manner; clearly and succinctly communicate reappointment status to applicant in writing. Files appointment/reappointment applications and other communication as needed. Prepares files other documents, as requested, for review and evaluation of the clinical Service Chief and Credentials Committee in an accurate, consistent, professional, and organized manner. Performs 3rd party verifications of submitted material as required by department policy, medical staff policy, and the Bylaws of the Medical Staff. Documents receipt of application materials and verifications in the credentialing system (ECHO) (e.g. Texas Medical License, Malpractice Insurance, DEA, Board Certification, DPS, etc.). Files copy in physician's file. Ensures all credentialing-related information is accurate and up to date in the ECHO system and in the applicant files. With the assistance of the Supervisor, utilizes Echo to run reports and makes certain all certifications and other tracked information as required is up to date and accurate. High School Diploma/GED required. Baylor St. Luke's Medical Center is an 881-bed quaternary care academic medical center that is a joint venture between Baylor College of Medicine and CHI St. Luke's Health. Located in the Texas Medical Center, the hospital is the home of the Texas Heart Institute, a cardiovascular research and education institution founded in 1962 by Denton A. Cooley, MD. The hospital was the first facility in Texas and the Southwest designated a Magnet hospital for Nursing Excellence by the American Nurses Credentialing Center, receiving the award five consecutive times. Baylor St. Luke's also has three community emergency centers offering adult and pediatric care for the Greater Houston area. Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit our Total Rewards page.