What are the responsibilities and job description for the Credentialing Specialist position at Pain Specialists of America?
Description
Pain Specialists of America ("PSA") is a Texas-based, multisite comprehensive pain management company that includes over 15 locations. We are seeking talented professionals who can support the business and help it achieve its strategic objectives.
Job Summary
Responsible for all aspects of the credentialing, re-credentialing and privileging processes for all medical providers who provide patient care at PSA. Responsible for ensuring providers are credentialed, appointed, and privileged with health plans, hospitals and patient care facilities. Maintain up-to-date data for each provider in credentialing databases and online systems; ensure timely renewal of licenses and certifications. This person will work remotely but should reside in Texas.
Essential Job Duties
Medical, Dental, Vision Insurance
401k w/company match contribution
Short & Long-Term Disability
HSA (w/company contribution), FSA
Life Insurance (company paid voluntary options)
10 Paid Holidays for the Year 2025
Paid Time Off
Employee Assistance Programs
Requirements
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
While performing the duties of this job, the employee is regularly required to use hands and fingers to handle, feel or operate objects, tools or controls, and reach with hands and arms. The employee is frequently required to talk and hear.
Pain Specialists of America ("PSA") is a Texas-based, multisite comprehensive pain management company that includes over 15 locations. We are seeking talented professionals who can support the business and help it achieve its strategic objectives.
Job Summary
Responsible for all aspects of the credentialing, re-credentialing and privileging processes for all medical providers who provide patient care at PSA. Responsible for ensuring providers are credentialed, appointed, and privileged with health plans, hospitals and patient care facilities. Maintain up-to-date data for each provider in credentialing databases and online systems; ensure timely renewal of licenses and certifications. This person will work remotely but should reside in Texas.
Essential Job Duties
- Compiles and maintains current and accurate data for all providers.
- Completes provider credentialing and re-credentialing applications; monitors applications and follows-up as needed.
- Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers.
- Maintains corporate provider contract files.
- Maintains knowledge of current health plan and agency requirements for credentialing providers.
- Sets up and maintains provider information in online credentialing databases and system.
- Tracks license and certification expirations for all providers to ensure timely renewals.
- Ensures practice addresses are current with health plans, agencies and other entities.
- Processes applications for appointment and reappointment of privileges to The
- Tracks license, DEA and professional liability expirations for providers.
- Maintains files and information in credentialing database.
- Audits health plan directories for current and accurate provider information.
- Maintains confidentiality of provider information.
- Provides credentialing and privileging verifications
- Performs other duties as assigned.
Medical, Dental, Vision Insurance
401k w/company match contribution
Short & Long-Term Disability
HSA (w/company contribution), FSA
Life Insurance (company paid voluntary options)
10 Paid Holidays for the Year 2025
Paid Time Off
Employee Assistance Programs
Requirements
- Two years of relevant credentialing experience
- High school diploma or equivalent, associate degree preferred
- Certified Provider Credentialing Specialist (CPCS) required
- Knowledge and understanding of the credentialing process.
- Ability to organize and prioritize work and manage multiple priorities.
- Excellent verbal and written communication skills including, letters, memos and emails.
- Excellent attention to detail.
- Ability to research and analyze data.
- Ability to work independently with minimal supervision.
- Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization.
- Proficient use of Microsoft Office applications (Word, Excel, Access) and internet resources.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
While performing the duties of this job, the employee is regularly required to use hands and fingers to handle, feel or operate objects, tools or controls, and reach with hands and arms. The employee is frequently required to talk and hear.