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Provider Enrollment Coordinator
Provider Enrollment CoordinatorLegacy Community Health • Houston, TX, US
Provider Enrollment Coordinator

Provider Enrollment Coordinator

Legacy Community Health • Houston, TX, US
6 days ago
Job type
  • Full-time
  • Quick Apply
Job description

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!

Apply today in less than 3 minutes using your phone, tablet, or computer!

Location :

  • Legacy Montrose Allen Parkway - 2929 Allen Pkwy Ste 1300.

Houston, TX 77019 (Hybrid) Provider Enrollment Coordinator (Job Overview) Schedule :

  • Monday-Friday (8AM-5PM) Join us as we pioneer a new era in healthcare credentialing at Legacy Community Health.
  • As the Provider Enrollment 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.
  • Be a vital player in the dynamic healthcare ecosystem, ensuring seamless compliance with Medicare and other regulatory standards.
  • Collaborate with external organizations to revolutionize provider onboarding and payor enrollment functions.
  • Empower healthcare professionals by maintaining accurate, data-driven credentialing and privileging information.
  • Drive innovation and continuous improvement in credentialing processes to enhance operational efficiency.
  • Contribute to community health impact by ensuring our providers meet the highest standards of care.
  • Key Responsibilities Innovatively obtain and verify credentialing information from multiple primary sources, aligning with cutting-edge 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 for those aspiring to lead transformative credentialing initiatives.
  • Minimum of five years' experience as a credentialing coordinator or specialist, with a focus 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 payor enrollment expertise are highly valued.
  • About Legacy Community Health As the largest Federally Qualified Health Center (FQHC) in Southeast Texas, Legacy Community Health has been delivering comprehensive, high-quality, and affordable health care for nearly 40 years.
  • With more than 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've stayed 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.
  • Explore our open positions and see if a career at Legacy is right for you.
  • At Legacy Community Health, our mission—Driving healthy change in our communities—guides everything we do.

    • To fulfill this mission, every team member is expected to embody the following core attributes in their daily work, regardless of role or department :

  • Approachable & Collaborative We bring our expertise without ego.
  • In a collaborative healthcare environment, humility fosters trust and teamwork.
  • Our employees value diverse perspectives, seek input from others, and are unafraid to acknowledge when they need help.

    • We stay grounded in our purpose :

  • to serve patients and communities with compassion and humility.
  • Driven & Committed We are driven by a deep commitment to excellence in patient care and organizational improvement.
  • Our employees take initiative, embrace challenges, and go the extra mile to support our mission.
  • Whether improving patient outcomes, streamlining processes, or stepping up in times of need, we are always striving to drive healthy change—within ourselves, our teams, and the communities we serve.
  • Perceptive & Thoughtful Communicators We value emotional intelligence as much as clinical or technical skill.
  • Our team members demonstrate sound judgment, cultural sensitivity, and the ability to navigate complex situations with empathy and professionalism.
  • They communicate clearly and respectfully with patients, families, and colleagues, building trust and fostering a safe, inclusive environment for all. #INDLP1 Powered by JazzHR
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