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CHRISTUS Health
irving, tx
Description Summary: The Director of Credentialing oversees the operations of Health plan credentialing to develop, manage, and monitor processes and procedures that support the credentialing, re-credentialing, expireables, and delegated credentialing processes. Oversees all of the credentialing functions including application management and prima
Job Source: CHRISTUS HealthCompunnel
Irving, TX, United States
Job Description: Duties include ensuring compliance with regulatory and accrediting agencies, interpreting standards, and identifying, recommending, and implementing changes. This position serves as the liaison between the plan administration or accrediting organization and the medical or pastoral staff on matters such as credentialing and educat
Job Source: CompunnelMedix Infusion
Addison
Job Description Job Description The Credentialing Specialist is responsible for all aspects of the credentialing, recredentialing, and government programs enrollment processes for all medical providers who provide patient care for the practice. Responsible for ensuring providers are credentialed, with health plans. Maintain up-to-date data for e
Job Source: Medix InfusionAddison Group
Dallas
Job Description Job Description Job Title: Credentialing Coordinator Location: Dallas, Texas Industry: Healthcare Pay: $18 - $24 per hour About Our Client: Our client, a leading healthcare organization, is seeking dedicated Credentialing Coordinators to join their team. This position offers an exciting opportunity for growth and professional de
Job Source: Addison GroupJL4 Staffing
Irving
Job Description Job Description Summary Coordinator Credentialing- Onsite -Local Candidates only Healthcare experience is a must have Must have experience with Physicians, PA, NPs, and Allied Health providers This position is responsible for developing and maintaining all aspects of the credentialing function, including credentialing for initial a
Job Source: JL4 StaffingJefferson Dental and Orthodontics
Carrollton
Job Description Job Description Job Title: Credentialing Specialist Company: Jefferson Dental & Orthodontics ****THIS IS NOT A REMOTE POSITION**** Responsible for all aspects of the credentialing, recredentialing and privileging processes for all dental providers who provide patient care at Jefferson Dental and Orthodontics (JDO). Responsible
Job Source: Jefferson Dental and OrthodonticsThe LaSalle Group
Irving, TX, United States
LaSalle Network is excited to announce a partnership with a premier healthcare provider to recruit a talented Credentialing Coordinator . If you have experience in hospital or managed care credentialing, we invite you to apply for this opportunity and work as part of a dynamic team making a difference in their community. Credentialing Coordinator
Job Source: The LaSalle GroupExceptional Healthcare Inc.
Dallas
Job Description Job Description Position Summary The Credentialing Specialist will be responsible for performing all functions necessary to maintain the efficient workflow of the Medical Staff Office and credentialing specialist responsibilities. Essential Duties & Responsibilities Manage the credentialing process for healthcare providers, inc
Job Source: Exceptional Healthcare Inc.Irving, TX, United States
Description
Summary:
The Director of Credentialing oversees the operations of the CVO to develop, manage, and monitor processes and procedures that support the credentialing, re-credentialing, expireables, and delegated credentialing processes. Oversees all of the credentialing functions including application management and primary source verification. Ensures compliance with the appropriate accrediting and regulatory agencies. Supervises credentialing staff in the day-to-day management of the overall CVO credentialing process and database management.
Responsibilities:
Responsible for the development and management of a comprehensive provider credentialing office for all CHRISTUS Health entities
Obtains accreditation of the credentialing office and obtains delegation for the managed care credentialing of CHPH network providers
Directs the CVO credentialing process for all managed care and medical staff providers, in accordance with The Joint Commission, NCQA, URAC, and CMS accreditation standards, Federal and State Laws, and CHRISTUS Health policies.
Coordinates the management of the credentialing database and associated applications, ensuring the accuracy of data and reporting to downstream systems. Monitors data for analysis and report generation.
Coordinates the management of the application process, to ensure distribution, receipt, processing, and timely delivery to clients
Directs the management of the expireables process to ensure all provider licenses, insurance, and certifications remain current, ensuring appropriate notification prior to expiration.
Monitors and reports turnaround times for processing of applications, with focus on delivery of a high-quality product with the greatest efficiency.
Participates in development and review of CVO operating policies and procedures; develops, recommends, and/or implements changes, revisions, and enhancements as appropriate to current operating environment.
Analyzes accreditation standards and develops criteria to ensure compliance.
Prepares for and coordinates credentialing audits in compliance with accrediting agencies and managed care contracts.
Functions as the primary CVO credentials contact; develops and maintains positive working relationships across ministries.
Oversees the supervision of associates, which includes training, promotion, enforcement and auditing of internal procedures, and problem resolution; evaluates performance and makes recommendations for personnel actions; motivates associates to achieve peak productivity and performance
Performs miscellaneous job-related duties as assigned.
Requirements:
Bachelor's Degree preferred or equivalent experience
Minimum 10 years working in credentialing
Minimum 7 years in a leadership position
Certified Professional in Medical Services Management (CPMSM) and/or Certified Provider Credentialing Specialist (CPCS) required
Work Type:
Full Time
EEO is the law - click below for more information:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf
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Director Credentialing - Staff Credentialing jobs in Irving, TX, United States
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