Job Description

Extended Job Title
Lead Specialist (Credentialing)

Org Level 1
Texas Tech Unv Hlth Sci Ctr El Paso

Position Description
Performs advanced, specialized work to assist in the organization and implementation of various projects and programs. Work is performed under minimal supervision within established policies with latitude for independent judgment. Works on special projects as assigned. May substitute for supervisor during his/her absence.

Requisition ID
28976BR

Travel Required
Up to 25%

Major/Essential Functions
  • Initiates enrollment for Medicare and Medicaid
  • Initiates enrollment for MCOs
  • Responds to miscellaneous requests from providers, administrators and or other facilities
  • Maintains and updates credentialing expirables and preforms PSV.
  • Processes recredentialing to the MCOs
  • Manage and maintain status of all enrollment applications to include but not limited to submission date, contact date, follow up date, etc.
  • Other duties as assigned.
  • Processes PLFSOM, hospital and other facilities initial applications and re-appointments to include but not limited to TSCA application, TTUSHC supplementary form, Delineation of Privileges and other required documents to ensure accreditation.


Grant Funded?
No

Minimum Hire Rate
Compensation is commensurate upon the qualifications

Pay Basis
Hourly

Schedule Details
M - F , 8 am to 5 pm

Work Location
El Paso

Preferred Qualifications
  • Knowledge of Cactus Credentialing Software.
  • Knowledge of The Joint Commission's Standards as they relate to Credentialing and Privileging.
  • Knowledge of NCQA standards as it relates to credentialing and health plan enrollment.
  • Knowledge of medical terminology as it relates to specific privileges.
  • CPCS certification preferred.
  • Provider Enrollment and Provider Credentialing experience.


Campus
HSC - El Paso

Department
Credentialing Office Elp

Required Attachments
Cover Letter, Resume / CV

Job Type
Full Time

Pay Statement
Compensation is commensurate upon the qualifications of the individual selected and budgetary guidelines of the hiring department, as well as, the institutional pay plan. For additional information, please reference the institutional pay plan on the Human Resources webpage.

Job Group
Office and Admn Wkrs All Other

Shift
Day

EEO Statement
As an EEO/AA employer, the Texas Tech University System and its components will not discriminate in our employment practices based on an applicant’s race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information or status as a protected veteran.

Required Qualifications
  • High school diploma
  • Plus six years experience in related field.
  • Additional education may substitute for experience on a year for year basis.


Does this position work in a research laboratory?
No

Jeanne Clery Act
The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a federal statute requiring colleges and universities participating in federal financial aid programs to maintain and disclose campus crime statistics and security information. By October 1 of each year, institutions must publish and distribute their Annual Campus Security Policy & Crime Statistics Report (ASR) to current and prospective students and employees. You can locate this report through our website at: https://www.ttuhsc.edu/emergency/clery-report.aspx.

Application Instructions

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