Credentialing Specialist

Full Time
Amarillo, TX
From $14.04 an hour
Posted
Job description
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

Occasional Duties

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

Grant Funded?

No

Job Type

Full Time

Job Group

Office and Admn Wkrs All Other

Shift

Day

Schedule Details

M-F, 8am to 5pm

Travel Required

None

Does this position work in a research laboratory?

No

offroadmanagementgroup.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, offroadmanagementgroup.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, offroadmanagementgroup.com is the ideal place to find your next job.

Intrested in this job?

Related Jobs

All Related Listed jobs