Credentialing Specialist

Company: Cls Health Pllc
Location: Webster
Posted on: April 9, 2025

Job Description:

Description:About CLS HealthCLS Health is a growing healthcare system in Houston, Texas that is taking a different approach to healthcare. We are a physician-led healthcare group that focuses on providing patients with holistic, multispecialty care. We're a dynamic team on a mission to provide better healthcare options for Houstonians!Job Summary:The Credentialing Specialist plays a vital role in the healthcare industry by ensuring that all healthcare providers within an organization meet the necessary qualifications, certifications, and credentials required to provide high-quality patient care. The role involves working closely with medical staff, administrative personnel, and external regulatory bodies to ensure compliance and accuracy in credentialing processes.Responsibilities:Coordinate and oversee the credentialing and re-credentialing processes for all healthcare providers, including physicians, nurses, allied health professionals, and other medical staff.Maintain up-to-date knowledge of relevant regulations, accreditation standards, and best practices related to credentialing and privileging.Collect, review, and verify provider application materials, including licenses, certifications, educational qualifications, work history, malpractice insurance, and references.Collaborate with various departments to ensure timely completion of all necessary forms and documentation.Conduct primary source verification of credentials and licenses through appropriate channels.Maintain a comprehensive and accurate database of provider credentials, licenses, and certifications.Ensure that all records are consistently updated to reflect any changes or updates to provider credentials.Monitor and ensure compliance with accrediting and regulatory agency requirements related to provider credentials and privileging.Stay informed about changes in regulations and requirements that could impact the credentialing process.Liaise with medical staff, human resources, legal, and administrative teams to facilitate a smooth credentialing process.Communicate effectively with providers and external organizations to gather necessary information and resolve any credentialing-related issues.Assist in the onboarding and orientation of new healthcare providers, ensuring they are familiar with the organization's policies and procedures.Generate regular reports on the status of provider credentialing and re-credentialing processes for management and regulatory purposes.Identify opportunities for process improvements and efficiencies in the credentialing process and contribute to the implementation of best practices.Performs related duties as required.Office-Based PositionBenefits:401(k)401(k) matchingDental InsuranceDisability insuranceHealth insuranceLife insurancePaid time offVision InsuranceRequirements:Bachelor's degree in healthcare administration, business administration, or a related field (or equivalent experience).Knowledge of healthcare regulations, accreditation standards, and credentialing requirements.Strong attention to detail and accuracy in record-keeping.Effective communication and interpersonal abilities.Proficiency in using credentialing software and databases.Familiarity with medical terminology is a plus.by Jobble

Keywords: Cls Health Pllc, League City , Credentialing Specialist, Other , Webster, Texas