About this role
Join our team as a day shift, full-time, Credentialing Specialist in Tyler, TX.
Why Join Us?
Thrive in a People-First Environment and Make Healthcare Better
- 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.
Get to Know Your Team:
- 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.
Responsibilities
- 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.
Qualifications
Job Requirementss:
- High school diploma or equivalent required
Preferred Qualifications:
1-2 years credentialing experience in hospital, clinic or managed care setting.
NAMSS CPCS Certification
Other facts
About UT Health East Texas
Representing the very best in healthcare, UT Health East Texas is comprised of 10 hospitals and more than 90 clinics across East Texas. With nearly 7,500 employees and over 1,000 licensed inpatient beds, UT Health East Texas provides healthcare services to thousands of patients annually through our hospitals, clinics, Level 1 trauma facility, air emergency fleet and EMS in a metropolitan service area of a quarter million people.
With the support of Ardent Health Services and the University of Texas System, UT Health East Texas is uniquely positioned to provide patients with access to cutting-edge research and clinical therapies while training and educating the next generation of physicians and other health professionals. At UT Health East Texas, our mission is to care for people — our patients, their families and each other. We do so while educating and developing the caregivers of the future.
What you'll do
- The Credentialing Specialist performs day-to-day credentialing functions and ensures compliance with accrediting and regulatory agencies. They maintain privilege folders, process urgent files, and support the Medical Staff Director as needed.
Ready to join UT Health East Texas?
Take the next step in your career journey