Credentialing Specialist

Memorial Hermann

Medical Plaza North, TX, US
Not specified (assumed to be onsite given the location).
One year of credentialing experience
Joint commission ncqa urac standards knowledge
Effective analytical and communication skills
Memorial Hermann is seeking a Credentialing Specialist to manage the credentialing processes for healthcare providers, ensuring compliance and effective communication. The ideal candidate should have at least one year of relevant experience and strong analytical and communication skills

Job Summary

  • The Credentialing Specialist will conduct activities related to initial credentialing, re-credentialing, delegation, and ongoing provider file maintenance.
  • This role requires monitoring physician sanction sources and board actions while maintaining licensure such as DEA and state narcotics certification.
  • Employees are expected to create exceptional experiences for the community by prioritizing safety, compassion, personalization, and efficiency.

Matching Summary

Match Score: 75

Memorial Hermann is seeking a Credentialing Specialist to manage the credentialing processes for healthcare providers, ensuring compliance and effective communication. The ideal candidate should have at least one year of relevant experience and strong analytical and communication skills.

Skills & Requirements

Must-have

  • One year of credentialing experience
  • Joint Commission NCQA URAC standards knowledge
  • Effective analytical and communication skills

Nice-to-have

  • Ability to work independently and collaboratively
  • Experience with provider file maintenance
  • Commitment to compassionate patient experiences

Key Requirements

  • Associate's degree preferred
  • One year of credentialing experience in managed care or Medical Staff Services
  • Basic computer skills including Microsoft Office Word and Excel

Work Rights

Not specified

Tailored Resume

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