Credentialing Coordinator

Credentialing Coordinator

Under general supervision, the Credentialing Coordinator is responsible for assuring the proper credentialing and privileging of physicians, mid-level providers, research associates, professionals, and paraprofessional individuals. The Credentialing Coordinator will maintain and ensure compliance for all licensures and appointments with state and governmental agencies and certifications for each provider. The Credentialing Coordinator also tracks and ensures the completion of required continuing medical education courses/workshops.

Responsibilities

• Guide provider through credentialing and re-credentialing process and ensure the completion of required documentation for UT Health and all facilities where the provider delivers services.
• Works with provider to prepare and submit Medicare & Medicaid applications to enrollment office.
• Prepare all credentialing applications, develop, and provide documentation that are not supplied by the provider, address any additional information or corrections requested.
• Verify and track the proper credentialing and re-credentialing of physicians, professionals, and paraprofessional individuals within UT Health and all facilities where the provider has privileges. Receive credentialing application and enter data into credentialing system.
• Work with provider to maintain and ensure compliance for all licensures and appointments with state and governmental agencies and certifications for each provider, generate monthly report of expiring credentials.
• Ensure ongoing monitoring of performance between credentialing cycles, generate performance review documentation, share with department for completion, and notify external entities when a provider has been suspended, if necessary.
• Work with departments to obtain proof of professional liability coverage.
• May provide support and information needed for monthly credentialing committee meetings, provide report to the committee of initial and reappointments.
• Notify providers and departments of credentialing status and final result, email notice to department and provider, ensure credentialing system (currently MD Staff) is updated with final credentialing result.
• Ensure UT Health website accurately reflects provider's credentials once cleared.
• Track and ensure the completion of required continuing medical education courses/workshops; provide documentation to outside entities according to requirements.
• Conduct customer service tasks such as responding to provider, applicants, administrators, and hospital inquiries, provide documents to physicians/office staff seeking copies.
• Perform all other duties as assigned.

Qualifications

• Ability to effectively serve the customer's need. Strong attention to detail and ensuring accuracy.
• Ability to work independently under limited supervision.
• Strong multitasking and organizational skills.
• Exhibits accuracy and thoroughness; monitors own work for quality.
• Strong organizational and time management skills.
• Proficiency in relevant software such as MS Office suite. Strong verbal, written and interpersonal communication skills.

Required Skills

• Three (3) years administrative experience, preferably in the hospital or clinical field, is required.

About Us

Benefits Overview UT Health San Antonio offers an excellent benefits package for its employees. Employees who work at least 20 hours a week, with an appointment of at least 4.5 months, are eligible for benefits. Medical - UT SELECT Medical insurance is offered free for employees and administered by Blue Cross and Blue Shield of Texas. Family members can be added to the plan through payroll deduction. Employees and their dependents can also receive discounted copays and coinsurance when using UT Health Physicians, a network of 800 premier physicians including more than 100 specialists. Employees receive $50,000 of group term life insurance and $50,000 of basic accidental death and dismemberment insurance for free, with options to purchase additional employee and dependent coverage for both at group rates. Dental - Three dental insurance plan options are available for employees and their families through Delta Dental Insurance Company, two PPOs and one dental HMO plan. Both PPO plans allow employees to choose any licensed dentist. Vision - Fully insured Vision Care benefits are offered by Superior Vision Services. Two vision plan options that offer either standard or enhanced vision benefits. Disability - Employees can enroll in the Disability Insurance which provides income if a non-work related illness or injury prevents you from working. FSAs - Employees can enroll in flexible spending accounts (FSAs) to set aside money from earnings before taxes for qualifying dependent day care expenses or out-of-pocket health care expenses. Retirement - Employees are eligible for either the Teacher Retirement System (TRS) or the Optional Retirement Plan (ORP). TRS is a defined benefit retirement plan which UT Health matches employee contributions. ORP is for eligible faculty staff employees. Voluntary retirement programs are also available to invest before- or after-tax dollars with the choice of five quality retirement plan providers. Time Off - A generous leave program offers multiple paid leave options:

• Front-loaded Paid Time Off: 128 to 208 hours (16 to 26 days) of Paid Time Off based on years of service, given at the start of each fiscal year. PTO may be prorated in year one based on date of hire.
• Extended Illness Bank: 8 hours (1 day) accrued per month which can be used for illness or injury after one day of Paid Time Off is taken.
• Paid Family Leave: Up to 240 hours (6 weeks) to care for a spouse, child, or parent after 6 months of consecutive employment.
• Holidays: 12 set paid holidays each year.

Discounts - Employees enjoy a range of discounts on services, tickets, and gym membership. EEO Statement UT Health San Antonio is an equal employment opportunity and affirmative action employer. It is our policy to promote and ensure equal employment opportunity for all individuals without regard to race, color, religion, sex, gender identity, national origin, age, sexual orientation, disability, or veteran status.