Title: Credentialing Specialist

Location: San Antonio, TX

Position Type: Full time (30-40+ hours/week), hourly.

Contract: GSA

Education Level: Bachelor’s Degree

Job Category: Health Care

Start Date: March 1, 2025

SIN Number: 621-100

Our Company Promise:

We are committed to providing our Employees a stable work environment with equal opportunity for learning and personal growth. Vighter’s Mission is to provide efficient, fast, high quality healthcare staffing to our clients.  Our Culture’s 5 key elements are crucial to the effectiveness of our employees in accomplishing our mission. These elements are:

Dependability Integrity Personability Transparency Responsiveness

Creating and cultivating this Culture within the organization is our commitment to our employees. Above all, Vighter employees will be provided the same concern, respect, and caring attitude that they are expected to share externally with every Vighter Client and Customer.

Summary:

Vighter LLC is seeking a highly organized and detail-oriented Credentialing Specialist is responsible for managing the credentialing process for healthcare providers, ensuring compliance with organizational policies, regulatory standards, and accreditation requirements. This role involves the collection, verification, and analysis of provider information to maintain accurate and up-to-date records.

Principle Accountabilities:

Facilitate initial credentialing and re-credentialing processes for healthcare providers. Collect and verify all necessary documentation, including licenses, certifications, education, training, and work history. Ensure timely completion and submission of credentialing applications. Conduct primary source verification of provider credentials. Maintain detailed and organized records of all credentialing activities and documents. Update provider information in the credentialing database and other relevant systems. Ensure credentialing processes comply with organizational policies, state and federal regulations, and accreditation standards (e.g., NCQA, Joint Commission). Participate in internal and external audits related to credentialing. Liaise with healthcare providers, internal departments, and external agencies to resolve credentialing issues and ensure smooth workflow. Communicate status updates and any required follow-up actions to providers and management. Identify opportunities to improve credentialing processes and implement best practices. Stay informed about changes in regulatory requirements and industry standards. Other duties as assigned.

Knowledge and Skills:

Must have exceptional customer service skills. Employees shall be technically proficient in the skills necessary to fulfill the job requirements, including ability to speak, understand, read and write English fluently.

Education:

Bachelor’s degree in Healthcare Administration, Business Administration or a related field.                               

Qualifications:

Minimum of 1 year of experience in healthcare credentialing, privileging, or provider enrollment, with demonstrated proficiency in credentialing standards and processes. Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) credential preferred. Strong understanding of regulatory requirements, accreditation standards, and payer guidelines related to provider credentialing and enrollment. Excellent organizational skills, with the ability to manage multiple priorities, meet deadlines, and maintain accurate records. Effective communication and interpersonal skills, with the ability to collaborate and convey complex information clearly.

Duty Hours / On-call Requirements:

Generally speaking, the corporate office is open 8 a.m.-5 p.m.; however, during times of rapid mobilization, hours may be extended to include nights and weekends. We try our best to accommodate your schedule, so please inform Vighter of your desired schedule and/or geographic limitations in advance.

Work Environment:

Location: Vighter Corporate HQs, San Antonio, TX Supportive team of healthcare professionals and administrative staff. Opportunity to work with diverse populations, including immigration and asylum personnel and underserved communities.

Travel:

As required to satisfy the contractual obligations. Generally, travel is limited to commute from residence to the worksite. Commute is non-compensatory. All official travel is government-funded.

Benefits:

Competitive salary and comprehensive benefits package, with Medical, Dental, and Vision insurance available for W2 full time employees. Company-paid basic Life and AD&D insurance and subsidized health insurance (W2). Paid time off and holidays. Professional development and promotion opportunities.

Physical Requirements:

Must be able to sit for more than 8 hours per day. Must be willing to work overtime if necessary. Must be able, with advance notice to float to surgical sites within 15 miles. Must be able to use an elevator or walk up and down stairs. Must be able to lift up to 40 pounds and carry up to 10 feet. Must be able to routinely grasp or handle objects, use finger dexterity, bend elbows/knees and reach above and below shoulders. Must be able to read and interpret handwritten and typewritten print. Must be able to communicate by voice and detect sound by ear. Must be able to perform duties in an indoor or outdoor environment Must be able to pass a criminal background investigation Must undergo Urine Drug Screening (UDS). Positions require applicants to be US Citizens, 21 years or older.  Must complete criminal background check, and Child Abuse and Neglect (CAN) background check. 

Vighter LLC is an equal opportunity and affirmative action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Position is contingent upon contract award.

#IND2025

#zr

#vighter