Coordinator Credentialing CVO - Staff Credentialing - Full Time

DescriptionSummary: Responsible for coordinating, monitoring, and maintaining the credentialing and re-credentialing process within the CVO. Ensures interpretation and compliance with the appropriate accrediting and regulatory agencies, while developing and maintaining a working knowledge of the statues and laws relating to credentialing. Responsible for the accuracy and integrity and developing a credentialing database. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Coordinates and monitors the review and analysis of practitioner applications and accompanying documents, ensuring applicant eligibility. Conducts thorough investigation, research, and primary source verification of all components of the application file. Identifies issues that require additional investigation and evaluation, validates discrepancies, and ensures appropriate follow-up. Reviews necessary documentation and verifications prior to submittal to clients, ensuring turnaround time and quality of data is within required metrics. Responds to inquiries from other healthcare organizations, interfaces with internal/ external customers on day-to-day credentialing/privileging issues as they arise. Meets weekly performance metrics which includes: file completion, quality, and turnaround time. Utilizes and maintains the credentialing database, optimizing efficiency, and performs queries, reports, and document generation. Maintains strict confidentiality of all data and information. Performs miscellaneous job-related duties as assigned. Job Requirements: Education/Skills Bachelor’s Degree or equivalent job-related experience Experience Minimum of at least 3 years of experience related to hospital or managed care credentialing. Licenses, Registrations, or Certifications Certified Provider Credentialing Specialist (CPCS) preferred Work Schedule: TBD 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 We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925. Additional Information: - Specialty: Billing and Insurance Specialist - Location: 5101 North O Connor BoulevardIrving, Texas 75039 - Contact: About the Company: CHRISTUS Health is an international Catholic, faith-based, not-for-profit health system comprised of more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures. Sponsored by the Sisters of Charity of the Incarnate Word in Houston and San Antonio and the Sisters of the Holy Family of Nazareth, the mission of CHRISTUS Health is to extend the healing ministry of Jesus Christ. To support our healthcare ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on staff who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States. EXTENDING THE HEALING MINISTRY OF JESUS CHRIST We are inspired by our mission, vision and core values to deliver compassionate, high quality health care, improving the health of the communities we serve. Above all, we are committed to providing our customers and their family members with a truly unique healing experience, one that embodies our values and respects the dignity and worth of each person. Creating a health care system that is truly excellent in all areas is an ongoing effort.