Legacy Community Health
Coordinator - Credentialing & Privileging
Legacy Community Health, Houston, Texas, United States, 77246
Job Title
Coordinator - Credentialing & Privileging
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Legacy Community Health
Location Legacy Montrose Allen Parkway – 2929 Allen Pkwy Ste 1300, Houston, TX 77019 (Hybrid)
Schedule Monday-Friday (8AM-5PM)
Job Overview Join us as we pioneer a new era in healthcare credentialing at Legacy Community Health. As the Credentialing & Privileging Coordinator, you’ll be at the forefront of digital transformation, leveraging cutting‑edge technology to streamline the onboarding and credentialing process for our healthcare providers.
Key Responsibilities
Innovatively obtain and verify credentialing information from multiple primary sources, aligning with federal and state standards.
Ensure regulatory compliance through agile application management and primary source verification.
Lead the onboarding process for providers, integrating advanced document requests and verification methods.
Serve as the tech‑savvy contact for provider onboarding and privileging, optimizing review activities with digital tools.
Maintain credentialing files and data systems, enhancing compliance with group delegation and audit requirements.
Orchestrate credentialing audits, ensuring alignment with managed‑care delegated credentialing contracts.
Leverage digital platforms for maintaining up‑to‑date privileging data, optimizing the expirable process management.
Utilize CAQH and other technologies to ensure accurate provider records and proactive notification of expiring credentials.
Deliver data‑driven reports to the SVP of Compliance and facilitate impactful board presentations on privileging.
Drive continuous improvement in credentialing standards through strategic file reviews and policy development.
Minimum Qualifications
Associate’s Degree or equivalent experience; Bachelor’s Degree preferred.
Minimum five years’ experience as a credentialing coordinator or specialist, focusing on innovation and digital transformation.
Proven expertise in credentialing and privileging guidelines, leveraging technology for enhanced accuracy and compliance.
Detail‑oriented with exceptional organizational skills to manage digital and physical processes seamlessly.
Ability to thrive under pressure in a fast‑paced, tech‑driven environment.
Strong collaborative mindset with a commitment to confidentiality and professional integrity.
Advanced proficiency in MS Office, particularly Excel, and adept at mastering credentialing systems.
Professional communication skills for engaging with executive‑level stakeholders and driving change.
FQHC credentialing experience and payer enrollment expertise are highly valued.
Benefits
Paid Time Off & Paid Company Holidays
Medical, Dental, Vision & Life Insurance
Flexible Spending Account (FSA)
403(b) Retirement Plan with Company Match
Short‑Term & Long‑Term Disability
$0 Copay for Legacy Provider visits
$0 Copay for prescriptions filled at Legacy Pharmacies
Travel Insurance & Pet Insurance
Subsidized Gym Membership
And much more!
About Legacy Community Health Legacy Community Health is the largest Federally Qualified Health Center (FQHC) in Southeast Texas, delivering comprehensive, high‑quality, and affordable health care for nearly 40 years. With over 50 clinics across the Greater Houston and Gulf Coast region, we continue to grow strategically and invest in our communities. By innovating how care is delivered, we stay at the forefront of connecting our communities to health—every day, in every way. At Legacy, we know our success is powered by our people. We’re always looking for talented, passionate individuals who want more than a job—they want a meaningful career that makes a real impact.
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at
Legacy Community Health
Location Legacy Montrose Allen Parkway – 2929 Allen Pkwy Ste 1300, Houston, TX 77019 (Hybrid)
Schedule Monday-Friday (8AM-5PM)
Job Overview Join us as we pioneer a new era in healthcare credentialing at Legacy Community Health. As the Credentialing & Privileging Coordinator, you’ll be at the forefront of digital transformation, leveraging cutting‑edge technology to streamline the onboarding and credentialing process for our healthcare providers.
Key Responsibilities
Innovatively obtain and verify credentialing information from multiple primary sources, aligning with federal and state standards.
Ensure regulatory compliance through agile application management and primary source verification.
Lead the onboarding process for providers, integrating advanced document requests and verification methods.
Serve as the tech‑savvy contact for provider onboarding and privileging, optimizing review activities with digital tools.
Maintain credentialing files and data systems, enhancing compliance with group delegation and audit requirements.
Orchestrate credentialing audits, ensuring alignment with managed‑care delegated credentialing contracts.
Leverage digital platforms for maintaining up‑to‑date privileging data, optimizing the expirable process management.
Utilize CAQH and other technologies to ensure accurate provider records and proactive notification of expiring credentials.
Deliver data‑driven reports to the SVP of Compliance and facilitate impactful board presentations on privileging.
Drive continuous improvement in credentialing standards through strategic file reviews and policy development.
Minimum Qualifications
Associate’s Degree or equivalent experience; Bachelor’s Degree preferred.
Minimum five years’ experience as a credentialing coordinator or specialist, focusing on innovation and digital transformation.
Proven expertise in credentialing and privileging guidelines, leveraging technology for enhanced accuracy and compliance.
Detail‑oriented with exceptional organizational skills to manage digital and physical processes seamlessly.
Ability to thrive under pressure in a fast‑paced, tech‑driven environment.
Strong collaborative mindset with a commitment to confidentiality and professional integrity.
Advanced proficiency in MS Office, particularly Excel, and adept at mastering credentialing systems.
Professional communication skills for engaging with executive‑level stakeholders and driving change.
FQHC credentialing experience and payer enrollment expertise are highly valued.
Benefits
Paid Time Off & Paid Company Holidays
Medical, Dental, Vision & Life Insurance
Flexible Spending Account (FSA)
403(b) Retirement Plan with Company Match
Short‑Term & Long‑Term Disability
$0 Copay for Legacy Provider visits
$0 Copay for prescriptions filled at Legacy Pharmacies
Travel Insurance & Pet Insurance
Subsidized Gym Membership
And much more!
About Legacy Community Health Legacy Community Health is the largest Federally Qualified Health Center (FQHC) in Southeast Texas, delivering comprehensive, high‑quality, and affordable health care for nearly 40 years. With over 50 clinics across the Greater Houston and Gulf Coast region, we continue to grow strategically and invest in our communities. By innovating how care is delivered, we stay at the forefront of connecting our communities to health—every day, in every way. At Legacy, we know our success is powered by our people. We’re always looking for talented, passionate individuals who want more than a job—they want a meaningful career that makes a real impact.
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