Credentialing Supervisor

Description

About CLS Health

CLS Health is a growing healthcare system in Houston, Texas that is taking a different approach to healthcare. We are a physician-led healthcare group that focuses on providing patients with holistic, multispecialty care. We're a dynamic team on a mission to provide better healthcare options for Houstonians!

We Are Looking For

CLS Health is seeking a detail-oriented and experienced Credentialing Supervisor to oversee the daily operations of the credentialing team. The Credentialing Supervisor is responsible for ensuring all providers are properly credentialed and recredentialed in compliance with internal policies, regulatory standards, and payer requirements. This role plays a key part in maintaining provider eligibility, protecting organizational integrity, and ensuring efficient, accurate credentialing processes.

Responsibilities

• Supervise and provide guidance to the credentialing staff, ensuring timely and accurate completion of all credentialing and recredentialing applications.
• Monitor credentialing timelines and performance metrics, prioritizing tasks to meet payer and regulatory deadlines.
• Review provider applications and support documentation for accuracy and completeness.
• Collaborate with internal departments such as Human Resources, Provider Relations, and Revenue Cycle to ensure smooth onboarding and credentialing of new providers.
• Maintain provider credentialing files and databases in accordance with organizational and accreditation standards (e.g., NCQA, TJC).
• Resolve discrepancies, follow up with providers for missing information, and address any issues or delays in credentialing workflows.
• Prepare for and participate in internal audits, external audits, and accreditation reviews.
• Stay current with applicable laws, regulations, and payer requirements affecting credentialing.
• Train, mentor, and evaluate credentialing team performance; identify areas for process improvement.
• Assist in the development and implementation of credentialing policies and procedures.
• Perform related duties as required.
• Office-Based Position in Webster, TX
  
  

Benefits

401(k)

401(k) matching

Dental Insurance

Disability insurance

Health insurance

Life insurance

Paid time off

Vision Insurance

Requirements

• Associate’s or bachelor’s degree in healthcare administration, Business, or related field preferred.
• Minimum of 3-5 years of experience in healthcare credentialing, with at least 1 year in a supervisory or lead role.
• Strong knowledge of credentialing standards, healthcare standards and payer requirements (Medicare, Medicaid, Healthcare insurers).
• Experience with credentialing software/systems (e.g., CAQH, Modio OneApp, Echo, etc.).
• Strong attention to detail and accuracy in record-keeping.
• Excellent organizational and time management skills.
• Effective communication and leadership abilities.
• Ability to prioritize and handle multiple tasks in a fast-paced environment.
• Proficient in Microsoft Office Suite (Word, Excel, Outlook).