Administrative Coordinator I - Credentialing Specialist

Job Title

Administrative Coordinator I - Credentialing Specialist

Agency

Texas A&M University Health Science Center

Department

Clinical Strategy

Proposed Minimum Salary

Commensurate

Job Location

Bryan, Texas

Job Type

Staff

Job Description

Our Commitment

Texas A&M University is committed to enriching the learning and working environment by promoting a culture that respects all perspectives, talents & identities.  Embracing varying opinions and perspectives strengthens our core values which are: Respect, Excellence, Leadership, Loyalty, Integrity, and Selfless Service.

Who we are

As one of the fastest-growing academic health centers in the nation, the Texas A&M University Health Science Center encompasses five colleges and numerous centers and institutes working together to improve health through transformative education, innovative research and team-based health care delivery.

What we want

The Administrative Coordinator I – Credentialing Specialist is responsible for the Texas A&M Health Centralized Verification Office (CVO). This position will evaluate, analyze, and coordinate all aspects of the credentialing processes for practitioners practicing within the Texas A&M Health System clinical entities. This role is essential and provides integral support to healthcare operations by enabling timely onboarding of healthcare providers.

What you need to know

Salary: Compensation will be commensurate to selected hire’s experience.

In accordance with the federal contractor vaccination mandate , specific facilities at The Texas A&M System may be considered a covered contractor workplace with covered contractor employees. Therefore, successful applicants for this position may be subject to the federal mandate and will be required to be fully vaccinated against COVID-19 as a condition of employment unless an approved medical or religious accommodation is in place. 

Required Education and Experience:

• Bachelor's degree or equivalent combination of education and experience

• Two years of experience in office administration

Required Knowledge, Skills, and Abilities:

• Ability to multi-task and work cooperatively with others

• Experience working with diverse individuals and communities

Preferred Education and Experience:

• Master’s Degree

• Knowledge of privileging procedures and standards

• 2+ years credentialing experience with hospital medical staff

Preferred Licenses and Certifications:

• NAMSS Certification as a Certified Professional Medical Services Manager (CPMSM) or Certified

• Provider Credentials Specialist (CPCS)

Preferred Knowledge, Skills, and Abilities:

• Excellent verbal and written communication skills

• Ability to focus for extended periods

Responsibilities:

Credentialing/Recredentialing Providers:

• Reviews and screens initial and reappointment credentialing applications for completeness, accuracy, and compliance with federal, state, local and University regulations, guidelines, policies, and standards.

• Conducts primary source verification, collects and validates documents to ensure accuracy of all credentialing elements; assesses completeness of information and qualifications relative to credentialing standards and Texas A&M Health System criteria.

• Identifies, analyzes and resolves extraordinary information, discrepancies, time gaps and other idiosyncrasies that could adversely impact ability to credential and enroll practitioners; discovers and conveys problems to entity Medical Staff for sound decision making in accordance with Medical Staff Bylaws, credentialing policies and procedures, federal, state, local and government/insurance agency regulations.

• Coordinates with contracted credentialing company to ensure appropriate verifications for efficient, high-volume processing of individual applications in accordance with applicable credentialing standards, established procedural guidelines, and strict timelines.

Maintain Hospital Privileges for Providers:

• Communicates clearly with providers, their liaisons, entity Medical Staff Affairs, medical staff leadership and Administration, as needed to provide timely responses upon request on day-to-day credentialing and privileging issues as they arise.

• Complete privileging and re-privileging forms for providers by prospective due dates.

Malpractice Insurance Grid:

• Works with Risk Management to maintain institutional malpractice policy for providers. 

Credentialing Policies and Procedures:

• Participates in the development and implementation of process improvements for the system-wide credentialing process; prepares reports and scoring required by regulatory and accrediting agencies, policies and standards.

• Updates policies and procedures as needed. 

• Performs other duties as assigned.

Instructions to Applicants: Applications received by Texas A&M University must either have all job application data entered or a resume attached. Failure to provide all job application data or a complete resume could result in an invalid submission and a rejected application. We encourage all applicants to upload a resume or use a LinkedIn profile to pre-populate the online application.

All positions are security-sensitive. Applicants are subject to a criminal history investigation, and employment is contingent upon the institution’s verification of credentials and/or other information required by the institution’s procedures, including the completion of the criminal history check.

Equal Opportunity/Affirmative Action/Veterans/Disability Employer committed to diversity.