Credentialing Specialist at Pain Specialist of America LLC | TX | Rezi

Credentialing Specialist at Pain Specialist of America LLC

Credentialing Specialist

Pain Specialist of America LLC · TX

2 weeks ago

Credentialing Specialist

Pain Specialist of America LLC · TX

20 days ago
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About the Role

Responsible for all aspects of the credentialing, re-credentialing and privileging processes for all medical providers who provide patient care at PSA. Ensures providers are credentialed, appointed, and privileged with health plans, hospitals and patient care facilities. Maintains up-to-date data for each provider in credentialing databases and online systems, ensuring timely renewal of licenses and certifications.

Responsibilities

  • 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.
  • 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.

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.
  • Regularly required to use hands and fingers to handle, feel or operate objects, tools or controls, and reach with hands and arms.
  • Frequently required to talk and hear.

Skills

  • Microsoft Office applications (Word, Excel, Access)
  • Internet resources

Location

  • Texas

Work Type

  • Remote
  • Full-time

Experience Level

  • Two years of relevant credentialing experience

Education Level

  • High school diploma or equivalent
  • Associate degree preferred

Benefits

  • Medical, Dental, Vision Insurance
  • 401k + matching contribution (4%)
  • Short & Long-Term Disability
  • HSA + matching contribution
  • FSA
  • Life Insurance (company paid + voluntary options)
  • 9.5 Paid Holidays for the Year 2026
  • Paid Time Off
  • Employee Assistance Programs

About the Company

  • 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.