Welcome page Returning Candidate? Log back in! Credentialing Specialist - 100% Remote (Must Live within Greater Houston) Facility Telecommute Job Locations US-TX-Houston Category Administrative Position Type Full-Time Department Med Staff Serv Shift 1st - Day Overview

Note: Candidates with experience in Medical Staff Credentialing/Privileging function in a hospital setting strongly encouraged to apply.

 

At Houston Methodist, the Credentialing Specialist position is responsible for processing applications for appointment and reappointment to the Medical Staff of Houston Methodist hospitals per applicable accreditation, bylaws and rules and regulations standards and deadlines. Additionally, current and accurate practitioner demographic, licensure and privileging information will be maintained by this position, utilizing credentialing and other designated software and in hard copy, as required.

Houston Methodist Standard

HOUSTON METHODIST EXPERIENCE EXPECTATIONS

Provide personalized care and service by consistently demonstrating our I CARE values:INTEGRITY: We are honest and ethical in all we say and do.COMPASSION: We embrace the whole person including emotional, ethical, physical, and spiritual needs.ACCOUNTABILITY: We hold ourselves accountable for all our actions.RESPECT: We treat every individual as a person of worth, dignity, and value.EXCELLENCE: We strive to be the best at what we do and a model for others to emulate.Practices the Caring and Serving ModelDelivers personalized service using HM Service StandardsProvides for exceptional patient/customer experiences by following our Standards of Practice of always using Positive Language (AIDET, Managing Up, Key Words)Intentionally collaborates with other healthcare professionals involved in patients/customers or employees' experiential journeys to ensure strong communication, ease of access to information, and a seamless experience.Involves patients (customers) in shift/handoff reports by enabling their participation in their plan of care as applicable to the given jobDisplays cultural humility, diversity, equity and inclusion principlesActively supports the organization's vision, fulfills the mission and abides by the I CARE values Responsibilities

PEOPLE ESSENTIAL FUNCTIONS

Prepares correspondence to practitioners, delegated entities and others.Handles resolution of complex problems and issues and notifies management of issue and resolution.Promotes a positive work environment and contributes to a dynamic, team-focused work unit that actively helps one other to achieve optimal department results.

SERVICE ESSENTIAL FUNCTIONS

Receives, data enters and organizes applications for appointment and reappointment.Performs primary source and other verifications necessary for completion of applications for appointment and reappointment.Gathers and compiles all other necessary documentation, including case logs or quality data, for application completion.Generates reports and checklists for the organization, tracking, auditing and communication of work in process or completed.Ensures all credentialing deadlines are met.

QUALITY/SAFETY ESSENTIAL FUNCTIONS

Investigates, clarifies and communicates discrepancies, sanctions, complaints, adverse data, etc., as per department policies.Ensures data entry, verifications and final applications are accurate and complete in the credentialing database.Updates database on an ongoing basis as necessary.

FINANCE ESSENTIAL FUNCTIONS

Assists with financial management tasks such as dues, fees, and/or payments.

GROWTH/INNOVATION ESSENTIAL FUNCTIONS

Participates in department projects and activities.Seeks continuing education opportunities to expand learning beyond baseline competencies with a focus on continual development.

This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.

Qualifications

EDUCATION

High School diploma or equivalent education (examples include: GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.)

WORK EXPERIENCE

Three years of experience in the Medical Staff Credentialing/Privileging function in a hospital setting, with regular interaction and communication with medical staff and hospital leadershipThree years of experience in word-processing and spreadsheet software such as Microsoft Word and ExcelExperience with credentialing software preferred License/Certification

LICENSES AND CERTIFICATIONS - REQUIRED

N/A

LICENSES AND CERTIFICATIONS - PREFERRED

CPMSM - Certified Professional Medical Services Management (NAMSS) ORCPCS - Certified Provider Credentialing Specialist (NAMSS) KSA/ Supplemental Data

KNOWLEDGE, SKILLS, AND ABILITIES

Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluationsSufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or securityAbility to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principlesSelf-motivated, detail-oriented, energetic, and able to prioritize multiple projectsKnowledge of accreditation standards that relate to Medical Staff ServicesComputer literacy, including ability to utilize various software programs to complete all job tasks described in job summary. Must be proficient in word-processing and spreadsheet software such as Microsoft Word and Excel. Knowledge of credentialing software preferredGeneral knowledge of medical terminologyAbility to complete work within designated time framesAbility to offer suggestions and implement change to enhance efficiency and organization of office operationsAbility to maintain confidentiality and privacy of practitioner files

SUPPLEMENTAL REQUIREMENTS

WORK ATTIRE

Uniform NoScrubs NoBusiness professional YesOther (department approved) No

ON-CALL*
*Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.

On Call* No

TRAVEL**
**Travel specifications may vary by department**

May require travel within the Houston Metropolitan area YesMay require travel outside Houston Metropolitan area No Company Profile

Houston Methodist (HM) is one of the nation’s leading health systems and academic medical centers.  HM consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the heart of the Texas Medical Center, and seven community hospitals throughout the greater Houston metropolitan area.  HM also includes an academic institute, a comprehensive residency program, a global business division, numerous physician practices and several free-standing emergency rooms and outpatient facilities.  Overall, HM employs over 25,000 employees.   Houston Methodist is supported by a wide variety of business functions that operate at the system level to help enable clinical departments to provide the best patient care and service in a spiritual environment.

 

In 2019 Houston Methodist and its physicians treat more than 6,333 international patients from more than 76 countries. Houston Methodist Global Health Care Services’ consulting and education divisions also provide advisory services and training and development to health care organizations around the world.

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Equal Employment Opportunity

Houston Methodist is an Equal Opportunity Employer.

Equal employment opportunity is a sound and just concept to which Houston Methodist is firmly bound. Houston Methodist will not engage in discrimination against or harassment of any person employed or seeking employment with Houston Methodist on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, status as a protected veteran or other characteristics protected by law. VEVRAA Federal Contractor – priority referral Protected Veterans requested. Application FAQs

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