What we do here changes the world. UTHealth Houston is Texas’ resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That’s where you come in.

The Credentialing Coordinator working in our Pediatric Administration department will assist the providers in the Department of Pediatrics through the credentialing process to help prevent lost revenue and ensure all clinical needs are met. This will include managed care credentialing, government enrollment, hospital privileging, and NPI set up and maintenance.

Once you join us you won't want to leave. It’s because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you’d expect from a top healthcare organization (benefits, insurance, etc.), plus:  

100% paid medical premiums for our full-time employees   Generous time off (holidays, preventative leave day, both vacation and sick time – all of which equates to around 37-38 days per year)  The longer you stay, the more vacation you’ll accrue!  Longevity Pay (Monthly payments after two years of service)  Build your future with our awesome retirement/pension plan! 

We take care of our employees! As a world-renowned institution, our employees’ wellbeing is important to us. We offer work/life services such as... 

Free financial and legal counseling  Free mental health counseling services  Gym membership discounts and access to wellness programs  Other employee discounts including entertainment, car rentals, cell phones, etc.  Resources for child and elder care  Plus many more! 

Position Location:

UTHealth Houston Pediatrics
6410 Fannin Street, Houston, TX 77030
Schedule: Full-Time, Mon-Fri, 8am-5pm (Hybrid: 4 days in office, 1 day remote per week)

Position Key Accountabilities:

1.    Conducts credentialing and re-credentialing related activities.
2.    Monitors and maintains credentialing databases and files for practitioners and providers.
3.    Facilitates applications and re-applications for providers per company and state requirements.
4.    Communicates with providers in a timely manner regarding status of credentialing via written or verbal communication.
5.    Maintains additions, changes, and terminations in credentialing database.
6.    May facilitate new provider orientation and onboarding.
7.    May manage policies and procedures associated with provider credentialing.
8.    Conducts credentialing audits and satisfaction surveys.
9.    Effectively communicates with all stakeholders.
10.    Continuous compliance with HIPPA regulations and Compliance/Program Integrity requirements.
11.    Performs other duties as assigned.

Certification/Skills:

Certified Professional Credentialing Specialist (CPCS) preferred
Current and thorough knowledge of all rules, laws, regulations, accreditation requirements and standards relevant to credentialing. Knowledgeable of NCQA, URAC, and Joint Commission standards and requirements of accreditation. Proficiency (intermediate) with MS Office software, Word, Excel. Demonstrated effective written and oral communication skills.

 

Minimum Education:

Associates Degree in related field or equivalent experience in lieu of degree.
 

Minimum Experience:

Three (3) years of credentialing, database management, or medical staff coordination in managed care environment.
 

Physical Requirements:

Exerts up to 20 pounds of force occasionally and/or up to 10 pounds frequently and/or a negligible amount constantly to move objects.

Security Sensitive:

This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215

Residency Requirement:

Employees must permanently reside and work in the State of Texas.