Credentialing Specialist
Seton Medical Center Harker Heights
- Tyler, TX
- Permanent
- Full-time
- Thrive: We empower our team with career growth opportunities, tuition assistance, and resources that support your wellness, education, and financial well-being.
- People-First: We prioritize your well-being with paid time off, comprehensive health benefits, and a supportive, inclusive culture where you are valued and cared for.
- Make Healthcare Better: We use advanced technology to support our team and enhance patient care.
- UT Health Tyler, the flagship hospital of the system, has 432 licensed beds specializing in advanced acute care medicine. Our hospital includes a 24-hour ER with Level 1 trauma center, a comprehensive stroke center, more than 500 physicians and a full complement of subspecialty groups.
- Performs day-to-day credentialing functions UT Health East Texas Medical Staff Services which may include any hospital within the system.
- Assist in ensuring compliance with accrediting and regulatory agencies (TJC, CMS, NCQA, TDI) in regard to credentialing. Maintains a working knowledge of applicable statutes and laws.
- Assists by preparing files for surveys by said agencies.
- Assist in ensuring that clinical privileges performed are reflective of current services offered by the applicable facility.
- Maintains online privilege folders for assigned facilities with current privilege forms.
- Assist in ensuring that practitioners practice within the scope of their privileges and addresses and concerns immediately with manager.
- Provides support for the Medical Staff Director as needed.
- Ensures that all ongoing expirable are reviewed, obtained, and entered on a bi-monthly basis and notifies manager of any actions needed for any licenses, certification, or insurance that is not renewed as outlined by the Medical Staff Bylaws.
- Processes urgent files as needed by facilities by performing all credential checks necessary and prepare file for approvals in a timely manner.
- Demonstrates effective communication skills appropriate to a professional atmosphere.
- Maintains a high level of confidentiality at all times.
- Files all correspondence generated by committees, physicians, and others.
- High school diploma or equivalent required