Join VillageMD as a Credentialing Coordinator in Houston, TX

Join the frontlines of today's healthcare transformation

Why VillageMD?

At VillageMD, we're looking for a Credentialing Coordinator to help us transform the way primary care is delivered and how patients are served. As a national leader on the forefront of healthcare, we've partnered with many of today's best primary care physicians. We're equipping them with the latest digital tools. Empowering them with proven strategies and support. Inspiring them with better practices and consistent results.

We are creating care that's more accessible. Effective. Efficient. With solutions that are value-based, physician-driven and patient-centered. To accomplish this, we're looking for individuals who share our sense of excellence, are ready to embrace change, and never settle for the status quo. Individuals who have the confidence to lead but the humility to never stop learning.

Could this be you?

Integral to our team, you’ll be supporting all aspects of the payer credentialing, re-credentialing and privileging processes for launching all providers.  In this role, the Credentialing Coordinator is a key liaison between the providers, the payers, and VillageMD. 

How you can make a difference

• Coordinates the application and reapplication process for all providers including but not limited to: verifying all relevant information via the primary source; reviewing and analyzing potential issues and concerns; and preparing files for routing to the appropriate medical staff leaders, committees and the governing body.
• Acts as customer service liaison coordinating communications between the applicant, human resources, and the clinical department as it relates to the credentialing process.
• Evaluates applicants' credentials in accordance to credentialing and privileging policies in order to ensure compliance with medical staff bylaws and accrediting agencies (e.g., The Joint Commission, CMS, NCQA, etc.).
• Ensures all credentialing deadlines are clearly communicated, credentials are maintained for all providers in a timely manner and ensures full compliance with the medical staff credentialing policies and procedures.
• Maintains all credentialing related databases in accordance to medical staff policies and procedures.
• Assists in tracking quality and performance improvement data for credentialed practitioners.

Skills for Success

• 1-2 years of experience in a healthcare setting with background in billing and working with various payers.
• High School Diploma, required
• Demonstrated skills in problem solving, analysis and resolution
• Must comply with HIPAA rules and regulations
• Working knowledge of NCQA and CMS regulatory requirements, preferred
• Background in managing CAQH Provider Profiles, preferred
• Working knowledge of payer credentialing rules and regulations, preferred
• Knowledge and experience with Medicare and Medicaid provider enrollment applications and processes, preferred
• Understanding of how physician payer enrollment affects the revenue cycle, preferred

How you will thrive

In addition to competitive salaries, a 401k program with company match, bonus and a valuable health benefits package, VillageMD offers paid parental leave, pre-tax savings on commuter expenses, and generous paid time off. You work in a highly-collaborative, conscientious, forward-thinking environment that welcomes your experience and enables you to make a significant impact from Day 1.

Most importantly, you make a difference. You see a clear connection between your daily work on VillageMD products and services and the advancement of innovative solutions and improved quality of healthcare for providers and patients.

Our unique VillageMD culture – how inclusion and diversity make the difference

At VillageMD, we see diversity and inclusion as a source of strength in transforming healthcare. We believe building trust and innovation are best achieved through diverse perspectives. To us, acceptance and respect are rooted in an understanding that people do not experience things in the same way, including our healthcare system. Individuals seeking employment at VillageMD are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. 

Explore your future with VillageMD today