Credentialing Specialist at Mount Sinai Health System, Houston, Texas

Company Overview:
Mount Sinai Health System is a renowned healthcare organization dedicated to providing exceptional medical services to the community in Houston, Texas. With a strong focus on patient care, research, and education, Mount Sinai Health System is committed to improving the health and well-being of individuals through innovative practices and cutting-edge technology.

Key Responsibilities for Credentialing Specialist:
- Manage the credentialing process for healthcare providers ensuring compliance with regulatory standards and internal policies.
- Coordinate with various departments to obtain necessary documentation for credentialing and re-credentialing purposes.
- Conduct thorough reviews of provider applications, verifying education, training, licensure, and professional experience.
- Maintain accurate and up-to-date provider credentialing files and databases.
- Collaborate with insurance companies and regulatory bodies to ensure timely and accurate provider enrollments.
- Monitor and track expirations of credentials and licenses to ensure continuous compliance.

Required Qualifications:
- Bachelor's degree in Healthcare Administration, Business Administration, or related field.
- Minimum of 2 years of experience in credentialing within a healthcare setting.
- In-depth knowledge of credentialing processes, regulations, and standards (e.g., NCQA, Joint Commission).
- Strong attention to detail and excellent organizational skills.
- Proficiency in using credentialing software and databases.
- Ability to work effectively in a fast-paced environment and prioritize tasks accordingly.
- Excellent communication and interpersonal skills.

Desired Skills:
- Certification in Medical Staff Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS).
- Experience with credentialing software such as Cactus or MD-Staff.
- Knowledge of Medicare, Medicaid, and commercial insurance credentialing requirements.
- Familiarity with provider enrollment processes and payer credentialing.

Compensation & Benefits:
The annual salary range for the Credentialing Specialist position at Mount Sinai Health System in Houston, Texas is $50,000 to $65,000, commensurate with experience and qualifications. In addition to competitive compensation, we offer a comprehensive benefits package that includes medical, dental, and vision insurance, retirement savings plans, paid time off, and professional development opportunities.

How to Apply:
To apply for the Credentialing Specialist position at Mount Sinai Health System, please visit our careers page on our official website and submit your resume along with a cover letter outlining your credentials and experience related to the role. We thank all applicants for their interest in joining our team and will contact those who meet our requirements for further consideration.