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43318BR

Extended Job Title:

Coordinator

Org Level 1:

Texas Tech Unv Hlth Sci Ctr El Paso

Position Description:

Introduction and Training on all aspects of the credentialing and enrollment processes for all medical staff members who

provide patient care, treatment and service at TTUHSC El Paso.

Requisition ID:

43318BR

Optional Attachments:

Transcript

Travel Required:

Up to 25%

Major/Essential Functions:

+ Ensures compliance with TTUHSC El Paso Medical Staff Bylaws, Rules and Regulations and other accrediting and regulatory agencies such as Joint Commission, NCQA and DNV.

+ Coordinates in the credentialing/enrollment process for the medical staff, allied health professionals and temporary privileges.

+ Enters accurate and up to date data for all providers into the credentialing database to include, but not limited to, demographic and personal information, education/training, licensure, DEA, liability information, board certification status and health plan enrollment information. Ensures credentialing/enrollment files are complete and accurate.

+ Maintains a tickler system ensure that all expired credentials are reviewed, requested and managed on a timely basis according to the credentialing policy and procedures. May attend, take minutes and participate in Credentials Committee meeting as directed. Maintains confidentiality of all business/work and medical staff information.

+ Provides general clinical support to both Credentialing and Enrollment sections to include copying, filing, data entry, on campus pick up and delivery of documents and other tasks requested.

+ Learn to develop queries and spreadsheets for reporting and generates custom reports and forms as needed for manage healthcare plans.

+ Introduction and training on how to monitor additions/termination of providers in 25+ contracted manage healthcare plans and maintains integrity of current data in CACTUS software so that departments are kept abreast of provider’s effective dates.

+ Assures all provider credentialing/enrollment files have all original documentation as required.

+ Performs all other duties as assigned.

+ Remains current with all licensure, certifications and mandatory compliances and trainings required of this position.

+ Adhere to all policies, procedures and practices (Regents Rules, TTUS, HSECEP OPs, etc.).

+ Personally demonstrate, display and act in accordance with TTUHSC EP's Values (Service, Respect, Accountability, Integrity, Advancement, and Teamwork). Serve as a Value's leader while actively promoting and encouraging staff across the institution.

+ Perform all other duties as assigned.

Grant Funded?:

No

Minimum Hire Rate:

Compensation is commensurate upon the qualifications of the individual selected

Pay Basis:

Hourly

Work Location:

El Paso

Preferred Qualifications:

+ Knowledge of the credentialing or enrollment process would be beneficial.

+ Experience with Office products such as Word and Excel.

+ Ability to multitask.

Campus:

HSC - El Paso

Department:

Credentialing Office Elp

Required Attachments:

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:

All qualified applicants will be considered for employment without regard to sex, race, color, national origin, religion, age, disability, protected veteran status, or genetic information.

Required Qualifications:

+ High school graduation plus five (5) years progressively responsible related experience;

+ additional related education may exchange for required experience on a year for year basis.

Does this position work in a research laboratory?:

No

Navy Enlisted Classification Code:

AZ, LS, MC, PS, RP, YN

Army Military Occupational Specialty Code:

15P, 36B, 42A, 56M, 68J, 88H, 88N, 89A, 89B, 92A, 92Y

Air Force Specialty Code:

3A1X1, 8A200

Marine Military Occupational Specialty Code:

0111, 3372, 6046

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. To view this report, visit the TTUHSC Clery Act website at https://www.ttuhsc.edu/compliance/clery-report.aspx .