Credentialing Specialist - Surgical Billing Follow Up
Categories: Administrative / Clerical Support
Department: MSRDP Team 4 Admin
Full/Part Time/PRN: Full-Time
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information
Experience and Education
High School graduate or GED and four (4) years of related experience required.
Responsible for timely processing of initial credentialing for new faculty ,volunteer faculty, fellows, residents and other practitioners as well as re-credentialing of existing faculty and practitioners as needed.
Tracks and provides assistance to new faculty with licensing information.
Responsible for notification of changes and new developments within credenting processes to all necessary groups/individuals.
Sends notification of terminating/retiring faculty to all departmental and hospital contacts.
Provides training to department administrators and informs them of all changes and new developments within credentialing process.
Monitors and notifies faculty and administrators of expired or expiring certifications.
Communicates with hospitals concerning managed care credentialing and provider enrollment to ensure that new and re-credentialed physician's information is returned and updated in a timely manner.
Tracks faculty, fellows, residents and other practitioners activity with government enrollment and managed care companies.
Maintains database of all provider numbers.
Complete special projects as assigned, attends training offered by affiliate institutions as requested by department management.
Participates in and available for working the Education Office/ Department activities to include seminars, lectures and/or continuing education courses to faculty, fellows, residents and staff.
Participates in and available for recruitment activities for fellowship and resident program applicants.
Performs other duties as assigned.
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. In accordance with federal and state law, the University prohibits unlawful discrimination, including harassment, on the basis of: race; color; religion; national origin; gender, including sexual harassment; age; disability; citizenship; and veteran status. In addition, it is UT Southwestern policy to prohibit discrimination on the basis of sexual orientation, gender identity, or gender expression.