The Credentialing Supervisor is responsible for: supervising the credentialing staff in all of their duties, including maintaining initial credentialing, re-credentialing and the continuous credentialing processes for Individual and Organizational Providers; maintaining the integrity, accuracy and completion of Provider data in credentialing files and database; complying with regulatory and accreditation standards and performance expectations related to credentialing quality control, delegation oversight, departmental and personal improvement goals; and interacting with Medical Directors and organizational leaders internally/externally to resolve credentialing and provider data issues.
High school graduation required; Degree preferred.
NAMSS Certification (CPCS or CPMSM) strongly preferred or eligibility to acquire within 12 months after date of hire
Three years of healthcare practitioner credentialing experience in a managed care setting required
Two years supervisory experience preferred
Writing /Composing: Correspondence /Reports)
Analytical, Mathematics, Medical Terminology, Research, Statistical
Demonstration of good communication and interpersonal skills,
Credentialing Software System (Cactus experience preferred), Adobe Pro, Laserfiche
Internal Number: 153386
About Harris Health System
The Harris Health System is a fully integrated healthcare system that cares for all residents of Harris County, Texas. We are the first accredited healthcare institution in Harris County to be designated by the National Committee for Quality Assurance as a Patient-Centered Medical Home, and are one of the largest systems in the country to achieve the quality standard. Our system includes 23 community health centers, five school-based clinics, a dental center and dialysis center, mobile health units, a rehabilitation and specialty hospital and two full-service hospitals.Ben Taub Hospital is a world renowned Level I Trauma Center with 586 licensed acute-care beds and provides a wide range of specialty care outpatient services. Lyndon B. Johnson Hospital is a 328 licensed bed acute-care hospital with a newly expanded Level III trauma center and a distinguished regional center for neonatal intensive care for high-risk deliveries.Harris Health is a teaching system for Baylor College of Medicine and The University of Texas Health Science Center at Houston (UTHealth). We train the next generation of healthcare providers on the latest medical procedures and technological breakthroughs.With... our fully integrated electronic medical records system, we offer patients the convenience and assurance that their medical history is accurate, safe and available when and where it is needed. Our Medical Home designation ensures that we offer a full range of preventive, specialty and acute care services for the entire family.