Credentialing Specialist

Credentialing Specialist

We’re looking for a qualified Credentialing Specialist like you to join our Texas Health family.

Position Highlights

• Work location: 1301 Pennsylvania Ave
• Work environment:  Medical Staff Services
• Work hours: Full-time, 40 hours weekly, Monday – Friday 8am-5pm
• Salary range: $22.02 - $33.58 per hour (based on relevant experience)

At Texas Health Fort Worth, we take seriously our mission to improve the health of those in our community. We are a 707-bed, Magnet-designated, full-service hospital serving our community since 1930. Our location in Fort Worth provides convenient care to the residents of Fort Worth and the surrounding areas.

If you’re looking for cardiovascular care, high-risk obstetrics, gynecology, neurosciences, sports medicine and emergency medicine, we’ve got it. Plus, we’re an accredited Cycle III Chest Pain Center, an Emergency Center of Excellence and provide gynecology, neonatal intensive care, respiratory therapy and orthopedic medicine.

And talk about award winning. Texas Health Fort Worth is Joint Commission-certified in both Heart Failure and Chest Pain, a Comprehensive Stroke Center, an Acute Heart Failure Center, a Level II Trauma Center, a designated Magnet hospital and the Best Place to Have a Baby in Tarrant County. We are a top-notch choice in North Texas for emergency services, women’s services, cardiac care and much more.

As part of the Texas Health family, we employ over 24,000 employees and are among the areas top five largest employers. Come be a part of our exceptional team as we continue to provide outstanding care and deliver award winning results. You belong here.

Qualifications

• High School Diploma or equivalent (required)
• Two years of clerical or administrative experience (required)
• Healthcare/credentialing/medical staff experience (preferred)

Licenses and Certifications

• CPCS - Certified Provider Credentialing Specialist (preferred upon hire) or
• CPMSM - Certified Professional Medical Services Management (preferred upon hire)

Skills

Excellent verbal & written skills, knowledge of medical staff procedures preferred, strong computer skills

Position Responsibilities

• Reviews and verifies information on applications:
• Prepares/sends applications.
• Reviews application for accuracy and completion.

• Inputs info into MSOW.
• Makes copies of privileges and authorizations. Sends letter to member about items still needed.
• Queries National Practitioner Data Bank, Texas Medical Board, Drug Enforcement Agency, Department Public Safety, Board Certification (if not already verified) and Medicare Sanctions. Reviews responses to confirm exact match to application.
• Receives case lists and verifies information is correct.
• Retrieves quality information on physician from outcomes management.
• Sends letter to physician for any items on his/her application that do not match responses received. Sends 2nd notices after 30 days for verifications not yet received.
• Reviews red flagged items with Department Chair.
   

Coordinates communication of the following items after Board of Trustees meetings:

• Notifies members of status and any changes in privileges. Stamps and signs all files with appropriate signatures. Enters changes in MSOW.
• Pulls appointments from files, files appointments and stores old appointments in files in the file room.

Prepares documentation for Credentials Committee review for appropriate reappointment applications:

• Investigates questionable issues on the application, verifications and references.
• Copies appropriate documentation for Credentials Committee meeting.
• Assists Credentialing Coordinator with copies and books for Credentials Committee Meeting.
   

Provides other clerical support for the Medical Staff:

• Communicates with other hospital departments in maintaining up-to-date information on address, phone numbers and fax numbers for the medical staff.
   
• Provides reports to staff as needed and answers phone calls appropriately.

Why Texas Health
At Texas Health, our people make this a great place to work every day. Our inclusive, supportive, people-first, excellence-driven culture make it a great place to work.

Here are a few of our recent awards:

• 2021 FORTUNE Magazine’s “100 Best Companies to Work For®” (7th year in a row)
• Becker's Healthcare "150 Great Places to Work in Healthcare" (4 years running)
• “America’s Best Employers for Diversity” list by Forbes
• A “100 Best Workplaces for Millennials" by Fortune and Great Place to Work®

Explore our Texas Health careers site for info like Benefits, Job Listings by Category, recent Awards we’ve won and more.

Do you still have questions or concerns? Feel free to email your questions to recruitment@texashealth.org.