Credentialing Specialist - 100% Remote (Must Live in Greater Houston)

At Houston Methodist, the Credentialing Specialist position is responsible for processing applications for appointment and reappointment to the Medical Staff of Houston Methodist hospitals per applicable accreditation, bylaws and rules and regulations standards and deadlines. Additionally, current and accurate practitioner demographic, licensure and privileging information will be maintained by this position, utilizing credentialing and other designated software and in hard copy, as required.

PEOPLE ESSENTIAL FUNCTIONS

• Prepares correspondence to practitioners, delegated entities and others.
• Handles resolution of complex problems and issues and notifies management of issue and resolution.
• Promotes a positive work environment and contributes to a dynamic, team-focused work unit that actively helps one other to achieve optimal department results.

SERVICE ESSENTIAL FUNCTIONS

• Receives, data enters and organizes applications for appointment and reappointment.
• Performs primary source and other verifications necessary for completion of applications for appointment and reappointment.
• Gathers and compiles all other necessary documentation, including case logs or quality data, for application completion.
• Generates reports and checklists for the organization, tracking, auditing and communication of work in process or completed.
• Ensures all credentialing deadlines are met.

QUALITY/SAFETY ESSENTIAL FUNCTIONS

• Investigates, clarifies and communicates discrepancies, sanctions, complaints, adverse data, etc., as per department policies.
• Ensures data entry, verifications and final applications are accurate and complete in the credentialing database.
• Updates database on an ongoing basis as necessary.

FINANCE ESSENTIAL FUNCTIONS

• Assists with financial management tasks such as dues, fees, and/or payments.

GROWTH/INNOVATION ESSENTIAL FUNCTIONS

• Participates in department projects and activities.
• Seeks continuing education opportunities to expand learning beyond baseline competencies with a focus on continual development.

This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.

EDUCATION

• High School diploma or equivalent education (examples include: GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.)

WORK EXPERIENCE

• Three years of experience in the Medical Staff Credentialing/Privileging function in a hospital setting, with regular interaction and communication with medical staff and hospital leadership
• Three years of experience in word-processing and spreadsheet software such as Microsoft Word and Excel
• Experience with credentialing software preferred