Credentialing Specialist
Company:
Texas Tech University Health Sciences Center
Job Location:
Category:
Health and Medical Services
Type:
Full-Time
Amarillo
33142BR
Position Description
Performs specialized, complex work to assist in the organization and implementation of various projects and programs. Work is performed under supervision within established guidelines with performance based on overall results obtained.
Campus
HSC - Amarillo
Department: SOM Admin Ama
Major/Essential Functions
Serves as employee within the Amarillo School of Medicine Medical Staff Office where all provider credentialing and enrollment is done for over 100 providers. Works closely with another employee and under guidance of Unit Manager to assist with any and all tasks assigned. Examples of specific tasks below:
May serve as point of contact to assist in routing of questions and answers for the MSO office.
Required Qualifications
High school plus five years experience. Additional education may substitute for experience on a year for year basis.
Preferred Qualifications
Must have basic Microsoft Office skills (Excel, Word, Outlook) in addition to basic skills for working in an office including use of scanner, copiers, and printers. Knowledge of how to create electronic files and folders. Extreme addition to detail and avoiding typos and misspellings given the potential financial impact of documents being worked on. Experienced working in extremely quiet office environment where almost all time in the day is spent at desk.
Prior experience with credentialing or enrollment of medical providers. Experience working with large volumes of work requiring precision and attention to detail.
Required Attachments
Cover Letter, Resume / CV
Pay Statement
Compensation is commensurate upon the qualifications of the individual selected and budgetary guidelines of the hiring department, as well as, the institutional pay plan. For additional information, please reference the institutional pay plan on the Human Resources webpage.
EEO Statement
As an EEO/AA employer, the Texas Tech University System and its components will not discriminate in our employment practices based on an applicant's race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information or status as a protected veteran.
Jeanne Clery Act
The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a federal statute requiring colleges and universities participating in federal financial aid programs to maintain and disclose campus crime statistics and security in
Pay Basis: Hourly
Pay Grade Minimum
14.04
Pay Grade Maximum
27.84
Schedule Details
M-F, 8am to 5pm
Travel Required: None
Does this position work in a research laboratory?: No
33142BR
Position Description
Performs specialized, complex work to assist in the organization and implementation of various projects and programs. Work is performed under supervision within established guidelines with performance based on overall results obtained.
Campus
HSC - Amarillo
Department: SOM Admin Ama
Major/Essential Functions
Serves as employee within the Amarillo School of Medicine Medical Staff Office where all provider credentialing and enrollment is done for over 100 providers. Works closely with another employee and under guidance of Unit Manager to assist with any and all tasks assigned. Examples of specific tasks below:
- Perform general office functions such as answer phones, process mail, create/maintain/purge files, etc.
- Scan documents ensuring utmost accuracy before paper records may be removed
- Enroll and maintain Medicare as well as TX, OK, and NM Medicaid programs
- Receive, review, and correct New Mexico Medicaid turnaround forms
- Responsible for completing annual Oklahoma Medicaid renewals
- Disseminate necessary information updates to internal and external entities (license renewals, etc.)
- Update software information and maintain notifications in credentialing database/software (MD-Staff)
- Monitor files and reports for audit processes
- Complete annual Texas Healthy Women renewals
- Perform data entry into CAQH database
- Generate monthly reports from the MD-Staff system
- Execute the monthly Patient Complaint Adverse Action Report
- Support other areas in the department as needed
May serve as point of contact to assist in routing of questions and answers for the MSO office.
Required Qualifications
High school plus five years experience. Additional education may substitute for experience on a year for year basis.
Preferred Qualifications
Must have basic Microsoft Office skills (Excel, Word, Outlook) in addition to basic skills for working in an office including use of scanner, copiers, and printers. Knowledge of how to create electronic files and folders. Extreme addition to detail and avoiding typos and misspellings given the potential financial impact of documents being worked on. Experienced working in extremely quiet office environment where almost all time in the day is spent at desk.
Prior experience with credentialing or enrollment of medical providers. Experience working with large volumes of work requiring precision and attention to detail.
Required Attachments
Cover Letter, Resume / CV
Pay Statement
Compensation is commensurate upon the qualifications of the individual selected and budgetary guidelines of the hiring department, as well as, the institutional pay plan. For additional information, please reference the institutional pay plan on the Human Resources webpage.
EEO Statement
As an EEO/AA employer, the Texas Tech University System and its components will not discriminate in our employment practices based on an applicant's race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information or status as a protected veteran.
Jeanne Clery Act
The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a federal statute requiring colleges and universities participating in federal financial aid programs to maintain and disclose campus crime statistics and security in
Pay Basis: Hourly
Pay Grade Minimum
14.04
Pay Grade Maximum
27.84
Schedule Details
M-F, 8am to 5pm
Travel Required: None
Does this position work in a research laboratory?: No
