This position will be responsible for the coordination and implementation of the provider credentialing & recredentialing processes including but not limited to initiating the paperwork, obtaining documentation & signatures and ensuring timely contract effective dates as a participating provider with all contracted insurance plans and governmental payers. Maintains CAQH & NPI files and provider numbers. Serves as managed care customer service liaison for internal CPN clients. Primary point of contact to ensure accurate and timely communication of effective dates. Interacts with physicians, patients, insurance carriers, the billing vendor, practice personnel, and CPN leadership. This position must maintain a direct knowledge of industry changes that could affect the credentialing process and/or impair reimbursement. This position must use diplomacy and discretion, with respect to confidentiality. Routine work is performed independently with the employee responsible for decisions made regarding those assigned duties. The employee must demonstrate professional competence, exercise diplomacy, judgment and tact in a service-oriented manner and as a self-manager at all times. Performs all functions in a courteous and professional manner.
Our Mission: WHY WE EXIST. To extend the healing ministry of Jesus Christ. Our Core Values: WHAT WE BELIEVE IN.DIGNITY Respect for the worth of every person, recognition and commitment to the value of diverse individuals and perspectives, and special concern for the poor and underserved. INTEGRITY Honesty, justice, and consistency in all relationships. EXCELLENCE High standards of service and per...formance. COMPASSION Service in a spirit of empathy, love, and concern. STEWARDSHIP Wise and just use of talents and resources in a collaborative manner.Our Vision: WHAT WE ARE STRIVING TO DO. CHRISTUS HEALTH, a Catholic health ministry, will be a leader, a partner and an advocate in the creation of innovative health and wellness solutions that improve the lives of individuals and communities so that all may experience God's healing presence and love. Our Name and Symbol:WHO WE ARE. CHRISTUS is Latin for "Christ," and proclaims publicly the core of our mission. OUR NAME choice also recognizes the heritage of our two congregational sponsors, the Sisters of Charity of the Incarnate Word in Houston and San Antonio. Jesus Christ is the Incarnate Word, the Word of God made flesh. It is, therefore, only fitting that it is in another form of His name that our health ministries are called together. OUR SYMBOL Reflects the healing ministry of Jesus Christ - a combination of a medical cross and a religious cross. The flowing banner on the cross is a common symbol of the risen Christ, while the royal purple signifies Christ. The flowing banner also conveys a sense of motion as we move forward into a new era of service to our communities.