Credentialing Coordinator at CLS Health PLLC

Webster, Texas, United States -

Full Time

Start Date

Immediate

Expiry Date

03 Apr, 26

Salary

0.0

Posted On

03 Jan, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Credentialing, Healthcare Regulations, Accreditation Standards, Record-Keeping, Communication Skills, Interpersonal Skills, Attention to Detail, Credentialing Software, Medical Terminology

Industry

Hospitals and Health Care

Description

Description About CLS Health CLS Health is a growing healthcare system in Houston, Texas that is taking a different approach to healthcare. We are a physician-led healthcare group that focuses on providing patients with holistic, multispecialty care. We're a dynamic team on a mission to provide better healthcare options for Houstonians! We are Looking for: The Credentialing Coordinator is responsible for managing and maintaining the credentialing and re-credentialing process for healthcare providers to ensure compliance with organizational standards, regulatory requirements, and payer guidelines. This role involves verifying provider qualifications, maintaining accurate records, and coordinating with internal teams and external agencies to ensure timely and accurate credentialing. Responsibilities: Collect, review, and verify provider documentation including licenses, certifications, education, work history, and malpractice coverage. Submit credentialing applications to insurance payers and monitor approval status. Ensure compliance with state, federal, and accreditation standards (e.g., NCQA, CMS). Maintain accurate and up-to-date credentialing files and databases. Serve as the primary point of contact for providers regarding credentialing status and requirements. Collaborate with internal departments such as HR, Provider Relations, and Billing to ensure seamless onboarding. Update and maintain credentialing software systems and provider rosters. Generate reports on credentialing status and timelines for leadership review. Performs related duties as required. Benefits: 401(k) 401(k) matching Dental Insurance Disability insurance Health insurance Life insurance Paid time off Vision insurance Requirements Bachelor’s degree in healthcare administration, business administration, or a related field (or equivalent experience). Knowledge of healthcare regulations, accreditation standards, and credentialing requirements. Strong attention to detail and accuracy in record-keeping. Effective communication and interpersonal skills. Proficiency in using credentialing software and databases. Familiarity with medical terminology is a plus.

Responsibilities

The Credentialing Coordinator manages the credentialing and re-credentialing process for healthcare providers, ensuring compliance with standards and guidelines. This includes verifying qualifications, maintaining records, and coordinating with teams and agencies.