Job Description

Extended Job Title
Lead Specialist

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
16158BR

Travel Required
Up to 25%

Major/Essential Functions
Initiates enrollment for Medicare and Medicaid.  Initiates enrollment for MCO's.  Responds to miscellaneous requests from providers, administrators and or other facilities.  Maintains and updates credentialing expirables and performs 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.

Grant Funded?
No

Minimum Hire Rate
14.48

Pay Basis
Hourly

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.

Campus
HSC - El Paso

Department
Credentialing Office Elp

Required Attachments
Cover Letter, Professional/Personal References, 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
Clerical/Secretarial

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 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

Application Instructions

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