Senior Credentialing Specialist

Job Title

Senior Credentialing Specialist

Agency

Texas A&M University Health Science Center

Department

SOM Finance Centralized

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 Senior Credentialing Specialist is responsible for the Texas A&M Health Centralized Verification Office (CVO); evaluates, analyzes, and coordinates all aspects of the credentialing and recredentialing processes for practitioners practicing within the Texas A&M Health System clinical entities. 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:

• Associate’s degree or equivalent combination of education and experience

• Three years of experience in credentialing

Required Knowledge, Skills, and Abilities:

• Ability to multi-task and work cooperatively with others

• Knowledge of word processing, spreadsheet, database, and presentation applications

• Interpersonal and communication skills

• Planning and organization skills

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. Completes 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.