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Kforce Credentialing Coordinator in Houston, Texas

Kforce has a client seeking a Credentialing Coordinator in Houston, Texas (TX).Responsibilities:

  • Under general direction, implements and monitors procedures and activities related to the credentialing, re-credentialing and privileging of network providers

  • Processes provider applications and re-applications including initial mailing, review, and loading of database into system ensuring high quality standards are maintained

  • Maintains provider profiling system and communicates with providers by phone and mail regarding credentialing status

  • May provide guidance or expertise to less experienced specialists

  • Serves as a liaison during the credentialing processes, communicating with providers regarding credentialing status and information in a timely manner

  • Assists in managing policies and procedures relating to credentialing and provider delegation maintenance

  • Ensures safe care to patients, staff and visitors; Adheres to all company policies, procedures, and standards within budgetary specifications

  • 3 years of credentialing experience in a managed care plan, Medical Staff Services, or credentialing verification office

  • Strong analytical skills with the ability to assess compliance, record, analyze, and interpret data into meaningful formats

  • Effective oral and written communication skills

  • PECOS and TMHP enrollment experience

  • DEA/NPI/TMB change of address

  • APP Supervision

  • Experience with Microsoft Office, Word and Excel

  • Proficient understanding of credentialing Joint Commission, NCQA, and URAC accreditation standards

  • Demonstrated understanding on initial credentialing and re-credentialing practices for medical professionals including primary source verification methods, and compliance monitoring

Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.Compensation Type:HoursMinimum Compensation:0.00Maximum Compensation:0.00