Credentialing Coordinator (Hybrid - 1 day/mo in office after 1st 90 days)
This role is located at the Legacy Montrose Allen Parkway office
and is considered a Hybrid position
(1 day/mo in office after 1st 90 days of employment in office)
Be a part of driving healthy change in our communities
About the Position
The Credentialing& Privileging Coordinator performs the accurate collection and validation of full-time, part-time and contract provider data needed to privilege the providers on Legacy’s professional staff. They are responsible for the overall onboarding and payor enrollment functions for Medicare compliance, roster attestations and serving as liaison between Legacy and outside organizations
Key Responsibilities
- Obtains and verifies credentialing information from multiple state, federal and/or accreditation primary sources in accordance with federal and state requirements, standards, policies and procedures for federally qualified health centers.
- Ensures compliance with the appropriate accrediting and regulatory agencies in relation to credentialing functions including application management and primary source verification. Conduct onboarding document request and primary verification source
- Serves as the primary contact for providers, including mid-level providers during the onboarding & privileging process, and facilitates activities of the various levels of review.
- Prepares and maintains credentialing files and reports for all individual providers including maintenance of credentialing software, provider rosters and spreadsheets to comply with group delegation requirements and external audits
- Coordinates, collects, reviews and compiles privileging information for approval by the governing board
- Prepares for and coordinates credentialing audits in compliance with the managed care delegated credentialing contracts
- Maintains the privileging share drive and credentialing software to ensure records and data are current and accurate
About Legacy Community Health
Legacy Community Health is a premium, Federally Qualified Health Center (FQHC) that provides comprehensive care to community members regardless of their ability to pay. Our goal is to treat the entire patient while improving their overall wellness and quality of life, in addition to providing free pregnancy tests, HIV/AIDS screening. At Legacy, we empower patients to lead better lives by promoting healthy behaviors and offering resources such as literacy classes, family planning services, and nutrition and weight management information.
Our roots began in 1981 as the Montrose Clinic, with specialization in HIV education, testing, and treatment. Since then, the agency has expanded to >50 clinics in Houston, one in Baytown, two in Beaumont, and one in Deer Park with extensive services that include: Adult primary care, HIV/AIDS care, pediatrics, OB/GYN and maternity, dental, vision and behavioral health. We also service students within KIPP and YES Prep schools. Legacy is committed to driving healthy change in our communities.
Requirements
- Associates Degree Required or equivalent experience
- At least five years’ experience in capacity as credentialing coordinator or credentialing specialist
- Demonstrated knowledge of credentialing and privileging guidelines, requirements, standards
- Strong detail oriented and organizational skills are required with the ability to work under pressure
- Ability to maintain strict confidentiality of information
Benefits
- Medical, Dental, and Vision insurance
- Long-Term Disability insurance
- Life insurance and AD&D
- 403(b) retirement plan
- Employee Assistance Plan
- Subsidized gym membership
- 24-hour travel assistance
- Paid Time Off
- PTO Exchange Program
- Company holidays (9 days + 1 floating day)
- Bereavement Leave
- And more