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Credentialing Coordinator

San Antonio, TX 78209

Posted: 06/27/2024 Category: Medical Secretary Job Number: 39280 Approx. Rate per Hour (negotiable): 20.00 Branch: Houston Office Industry: Medical

Job Description

Hire Up Staffing is seeking skilled and detail-oriented Credentialing Coordinators in the San Antonio, TX area!

Job Summary:

The Credentialing Coordinator manages and coordinates the complex credentialing and privileging process for physicians, mid-level providers, and other healthcare professionals across multiple facilities in and outside San Antonio, Texas. This role also oversees Provider Enrollment for billing, manages access to software systems, maintains compliance with licensures and certifications, tracks continuing education requirements, and provides mentorship to team members.

Job Duties:

  1. Guide providers through credentialing and re-credentialing processes, ensuring completion of required documentation for facilities.

  2. Prepare and submit Medicare & Medicaid applications and provide necessary documentation for credentialing applications.

  3. Verify and track credentialing status for healthcare professionals within facilities.

  4. Enter credentialing data into the system and ensure accuracy.

  5. Maintain compliance with licensures, certifications, and appointments, generating reports of expiring credentials.

  6. Monitor performance between credentialing cycles, document reviews, and notify external entities of suspensions if necessary.

  7. Coordinate proof of Professional Liability coverage with departments.

  8. Support monthly credentialing committee meetings and provide reports on initial and reappointments.

  9. Notify providers and departments of credentialing status and update credentialing systems.

  10. Ensure accurate representation of providers' credentials on website.

  11. Track completion of required continuing medical education and provide documentation as needed.

  12. Handle customer inquiries and provide necessary documents to stakeholders.

  13. Perform other assigned duties.

Education and Experience Requirements:
  • Associate's degree required; relevant experience accepted in lieu of education.
  • Minimum three (3) years administrative experience in hospital or clinical settings.

Working Environment: Office environment.

If this is something that you are qualified for and interested in please apply today!


Job Requirements


Additional Information

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Career Expert

Ashley Lafleur
Account Manager

Ashley LaFleur is a dedicated Account Manager at Hire Up's Houston branch. She brings a wealth of experience in human resources, recruiting, management, and business development, with over a decade in staffing and recruitment across various sectors including healthcare, engineering, and executive placements. A proud alumna of LSU, Ashley is passionate about substantially growing the regional healthcare division and contributing to the growth of other divisions. Ashley is excited to be at Hire Up, valuing the company's incredible team and vibrant, engaging culture. Outside of work, Ashley enjoys building and conserving puzzles and fishing with her boys. She is thrilled to be back at Hire Up and looks forward to making big things happen with and for the team.

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About San Antonio, TX

Step into a world of career possibilities in San Antonio, Texas! As a vibrant hub of culture, history, and opportunity, this city offers job seekers a unique blend of Texan charm and modern growth. From the iconic Alamo and romantic River Walk to the flavorful Tex-Mex cuisine and thriving arts scene with institutions like the McNay Art Museum and Tobin Center for the Performing Arts, San Antonio has something for everyone. With professional sports teams like the Spurs and a plethora of parks, there's always something exciting to do in this dynamic city. Don't miss out on your chance to explore our job listings and start your career journey in this enchanting region!