Back to the stack

Credentialing Specialist - REMOTE *TEXAS Residents Only*

Remote Worldwide Hiring now

Credentialing Specialist - REMOTE Status: Full-time, Exempt Schedule: Mon-Fri Location: (Remote) Join us at Little Spurs! (Overview): Little Spurs Pediatric Urgent Care and Little Spurs Autism Centers is looking to add a Credentialing Specialist to our growing team! The Credentialing Specialist will be responsible for maintaining the credentialing database, all licensures, insurance, board certifications for Little Spurs healthcare providers. The Credentialing Specialist will work under the direction of the Central Business Office Manager to ensure effective operations and compliance with government/state regulations and UCA requirements. What You Need (Qualifications):

  • High School diploma or equivalent
  • Minimum 3 years provider credentialing experience
  • Ability to meet and confer in a professional manner with Physicians and Physician extenders
  • Bachelor's degree in health care administration, business management, or related field (preferred)
  • Knowledge of credentialing software and ability to navigate payor portals
  • Provider enrollment/reenrollment (CAQH, PECOS, PEMS, TMHP, etc.)
  • Intermediate level of proficiency with Excel, Word, Outlook and Adobe
  • Delegated credentialing experience (preferred)
  • Knowledge of federal and state regulatory requirements and accreditation standards (i.e., Joint Commission, NCQA, UCA, and CMS) (preferred)
  • CPCS or CPMSM (preferred) The Perks (Benefits):
  • Medical, Dental & Vision Benefits available employee, spouse, and dependents
  • Voluntary Short-Term & Long-Term Disability & Voluntary Life Insurance (Employee, Spouse, Children)
  • 401k with 4% company match on 5% employee contribution
  • 80 hours of PTO accumulated through the year; available for rollover
  • More PTO accrued after three and five years of service
  • No cost for in-house medical care for employee and dependent children
  • Employee recognition and appreciation programs Apply tot his job Apply To this Job

Apply tot his job Apply To this Job

Apply for this role Opens the employer's application page — free, no JobStack account needed.

More from the stack

Senior Medical Staff Credentialing Coordinator- Medical Staff Services - Corporate - Full time Days - Remote

Remote Worldwide
View role

Credentialing Specialist

Remote Worldwide
View role

Insurance Verification Specialist I Full Time Remote

Remote Worldwide
View role

US Healthcare Transport & Insurance Verification Coordinator | Remote -EST Hours

Remote Worldwide
View role

Remote Patient Accounts Specialist: Insurance Verification

Remote Worldwide
View role

Sr. Insurance Verification Representative

Remote Worldwide
View role

Insurance Verification & Authorization Supervisor

Remote Worldwide
View role

Senior Specialist, Member & Community Interventions - HEDIS Quality (Remote in OH)

Remote Worldwide
View role

[Hiring] Medical Virtual Assistant (Insurance Verification & Authorization Specialist) @Virtual Rockstar

Remote Worldwide
View role

Lead Abstractor, HEDIS/Quality Improvement (Remote)

Remote Worldwide
View role

Security Researcher

Remote Worldwide
View role

Remote WFH Full Time Data Entry Clerk – Typing – Part Time Entry Level

Remote Worldwide
View role

Sr. Technical Program Manager - AI

Remote Worldwide
View role

Consultant - Pharmacovigilance/Safety Systems Implementation (Remote)

Remote Worldwide
View role

Podcast Audio Editor Needed: 52-Minute Edited Into 19–25 Minute Episode, 24 Hour Turnaround

Remote Worldwide
View role

Program Manager III - Compliance Program Admin

Remote Worldwide
View role

Delegad@ EREP Boston - Madrid

Remote Worldwide
View role

Senior Processor

Remote Worldwide
View role

Crisis Line Clinician (weekend days)

Remote Worldwide
View role

Ed-Tech - Virtual Project Manager for Business Academy (Future CEO Track)

Remote Worldwide
View role