Credentialing Coordinator

3 weeks ago

Red Bank NJ, United States The Plastic Surgery Center Full time
The Plastic Surgery Center is seeking an organized and detail oriented Credentialing Assistant for a rapidly growing practice. You will be responsible for the effective, accurate and timely manage care credentialing for all clinicians (i.e., licensed independent practitioners and allied health practitioners) in accordance with federal, state and department procedures. Responsible generating accurate reports including the credentialing status and data related to clinician productivity. Maintains up-to-date data for each provider in credentialing databases and online systems; ensure timely renewal of licenses and certifications.

\*This is not a remote position and required candidates to work out of our office located in Red Bank, NJ

Responsibilities and Duties
* Completing and processing provider credentialing applications
* Maintains current and accurate credentialing/privileging files for all licensed independent practitioners
* Maintaining knowledge of current health plan and agency requirements for credentialing providers
* Providing credentialing and privileging verifications if applicable
* Notifies manage care plans of all terminations and demographic changes for all licensed individual practitioners (LIPs)
* Audit managed care plans on a monthly basis to ensure that all LIPs are accurately enrolled with all appropriate practice locations
* Complies and maintains accurate monthly reports/rosters of all enrolled/credentialed practitioners; confirming all providers are appropriately enrolled with the correct managed care plans
* Responds to inquiries from other healthcare organizations, interfaces with internal and external customers on day to day credentialing and privileging issues as they arise
* Assists with managed care delegated credentialing audits; conducts internal file audits
* Utilizes the credentialing database, optimizing efficiency and performs query, report and document generation
* Assists in the implementation and maintenance of processes and procedures including regulatory certification guidelines related to physician credentialing

Qualifications
* 1-2 years of current and relevant credentialing experience, knowledge of medical credentialing and privileging procedures and standards
* Ability to efficiently and effectively manage multiple tasks to prioritize needs and meet deadlines
* Strong attention to detail
* Sound written and verbal communication skills
* Ability to maintain confidentiality of information and exercise good judgment and discretion in handling and disseminating information
* Ability to research and analyze data and to work independently with minimal supervision

IND2

Job Type: Full-time

Benefits:
* 401(k)
* Dental insurance
* Health insurance
* Health savings account
* Life insurance
* Paid time off
* Vision insurance
Schedule:
* Monday to Friday

Application Question(s):
* What are your salary requirements? (provide numeric answer only)

Experience:
* Medical office: 1 year (Preferred)
* Credentialing: 2 years (Required)

Work Location: In person

  • CREDENTIALING SPECIALIST

    2 weeks ago

    100 Clinton St, Camden, NJ 08103, USA, United States Cooper University Health Care Full time

    About us At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to its employees by providing...

  • Dispatcher

    4 days ago

    Red Bank, United States ARS-Rescue Rooter Full time

    Job DescriptionJob DescriptionOverviewGROW WITH THE PROS AND ENJOY REAL STABILITYOnly the best of the best work for the largest and fastest-growing leader in residential services:AJ PERRI®. Unique to our field, we provide plumbing, heating, and air conditioning expertise through 70+ locations nationwide united by a commitment to professional excellence. In...

  • Family Advocate

    3 days ago

    Red Bank, United States Acelero Full time

    Are you a socially conscious, dedicated individual who is committed to building a better future for children, families, and their communities? If so, join us as we support early childhood education programs across the country to create positive outcomes for the children and families served. Working as a Family Advocate at Acelero Learning Learning gives you...

  • Coordinator Medical Staff Services

    1 month ago

    Red Oak, United States WellStar Health System Full time

    Facility: Paulding Hospital Overview This position manages the department and committee process of the Medical Staff organization which includes all aspects of credentialing and all aspects of privileging for an assigned facility; compliance to Medical Staff by-laws, policies, rules and regulations; subject matter expert support for the Medical Staff...

  • MDS Coordinator RN

    2 weeks ago

    Livingston, NJ, United States Care One Enterprise Full time

    Balance Life & Work with a New Career Opportunity (SKILLED NURSING)(ASSISTED LIVING) Now Hiring - Clinical Reimbursement Coordinator - (Livingston, NJ)(CareOne at Livingston) The Clinical Reimbursement Coordinator assures the implementation of company policies and procedures pertaining to the Medicare and Managed care reimbursement in the facility. This...

  • Nurse - Assisted Living Nurse Coordinator

    2 weeks ago

    Livingston, NJ, United States Care One Enterprise Full time

    Balance Life & Work with a New Career Opportunity (SKILLED NURSING) (ASSISTED LIVING) Now Hiring - Clinical Reimbursement Coordinator - (Livingston, NJ) (CareOne at Livingston) The Clinical Reimbursement Coordinator assures the implementation of company policies and procedures pertaining to the Medicare and Managed care reimbursement in the facility. This...

  • COMMUNITY OUTREACH COORDINATOR

    1 month ago

    Camden, NJ, United States Cooper University Health Care Full time

    About us At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees by providing...

  • LPN, For Immediate Care Center

    2 weeks ago

    Jackson, NJ, United States Care One Enterprise Full time

    Balance Life & Work with a New Career Opportunity (ASSISTED LIVING) Now Hiring - Licensed Practical Nurse - Jackson, NJ CareOne at Jackson The Licensed Practical Nurse will be responsible for, but not limited to: Day-to-day coordination and oversight of the nursing process for residents assigned to his or her care. Direct and indirect provision of...

  • LPN Ambulatory Care

    2 weeks ago

    Moorestown, NJ, United States CareOne Full time

    Balance Life & Work with a New Career Opportunity (ASSISTED LIVING) Now Hiring - Licensed Practical Nurse - Moorestown, NJ Harmony Village at CareOne Stanwick Road The Licensed Practical Nurse will be responsible for, but not limited to: Day-to-day coordination and oversight of the nursing process for residents assigned to his or her care. Direct...

  • LPN Ambulatory Care

    2 weeks ago

    Westwood, NJ, United States Care One Enterprise Full time

    Balance Life & Work with a New Career Opportunity (LONG TERM CARE) (ASSISTED LIVING) Now Hiring - Licensed Practical Nurse - (Westwood), (NJ) (CareOne at HV at Valley) The Licensed Practical Nurse will be responsible for, but not limited to: Day-to-day coordination and oversight of the nursing process for residents assigned to his or her care. Direct...

  • LPN Ambulatory Care

    2 weeks ago

    Hamilton, NJ, United States Care One Full time

    Balance Life & Work with a New Career Opportunity (ASSISTED LIVING) Now Hiring - Licensed Practical Nurse - Hamilton, NJ Care One Hamilton The Licensed Practical Nurse will be responsible for, but not limited to: Day-to-day coordination and oversight of the nursing process for residents assigned to his or her care. Direct and indirect provision of...

  • Respiratory Therapist

    1 week ago

    Red Wing, United States Mayo Clinic Health System Full time

    Why Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans - to take care of you and your family, now and in the...

  • Director, Medical Affairs

    1 day ago

    Somerville, NJ, United States RWJBarnabas Health Full time

    Job Overview: The Director of Medical Administration organizes and directs Medical Staff with the Hospital Administration, Chief Medical Officer, Joint Commission, and applicable Federal, State, Local regulatory agencies. The select individual will be in charge of development plans, goals/ objectives of the Medical Staff, Hospital and of Medical...

  • LPN Ambulatory Care

    2 weeks ago

    Hackensack, NJ, United States Care One Enterprise Full time

    Balance Life & Work with a New Career Opportunity (LONG TERM CARE) (SHORT TERM REHAB) (SKILLED NURSING) (SUB ACUTE CARE) Now Hiring - Licensed Practical Nurse - Hackensack, NJ CareOne at Wellington The Licensed Practical Nurse will be responsible for, but not limited to: Day-to-day coordination and oversight of the nursing process for residents...

  • LPN Ambulatory Care

    2 weeks ago

    Westwood, NJ, United States Care One Enterprise Full time

    Balance Life & Work with a New Career Opportunity (LONG TERM CARE) (SHORT TERM REHAB) (SKILLED NURSING) (ASSISTED LIVING) Now Hiring - Licensed Practical Nurse - Westwood, NJ CareOne at Valley The Licensed Practical Nurse will be responsible for, but not limited to: Day-to-day coordination and oversight of the nursing process for residents assigned...

  • LPN Ambulatory Care

    2 weeks ago

    Teaneck, NJ, United States Care One Enterprise Full time

    Balance Life & Work with a New Career Opportunity (LONG TERM CARE) (SHORT TERM REHAB) (SKILLED NURSING) (ASSISTED LIVING) (LTACH) (SUB ACUTE CARE) Now Hiring - Licensed Practical Nurse - Teaneck, NJ CareOne at Teaneck The Licensed Practical Nurse will be responsible for, but not limited to: Day-to-day coordination and oversight of the nursing process...

  • LPN Ambulatory Care

    2 weeks ago

    Cresskill, NJ, United States Care One Enterprise Full time

    Balance Life & Work with a New Career Opportunity (LONG TERM CARE) (SHORT TERM REHAB) (SKILLED NURSING) (SUB ACUTE CARE) Now Hiring - Licensed Practical Nurse - (Cresskill), (NJ) (CareOne at Cresskill) The Licensed Practical Nurse will be responsible for, but not limited to: Day-to-day coordination and oversight of the nursing process for residents...

  • LPN Ambulatory Care

    2 weeks ago

    Parsippany, NJ, United States Care One Enterprise Full time

    Balance Life & Work with a New Career Opportunity (LONG TERM CARE) (SHORT TERM REHAB) (SKILLED NURSING) Now Hiring - Licensed Practical Nurse -Parsippany Troy Hills, NJ Morris SNF The Licensed Practical Nurse will be responsible for, but not limited to: Day-to-day coordination and oversight of the nursing process for residents assigned to his or her...

  • LPN - Long Term Care Facility- Full Time

    2 weeks ago

    Jackson, NJ, United States Care One Enterprise Full time

    Balance Life & Work with a New Career Opportunity (LONG TERM CARE) (SHORT TERM REHAB) (SKILLED NURSING) (ASSISTED LIVING) Now Hiring - Licensed Practical Nurse - Jackson, NJ CareOne at Jackson The Licensed Practical Nurse will be responsible for, but not limited to: Day-to-day coordination and oversight of the nursing process for residents assigned...

  • LPN Ambulatory Care

    2 weeks ago

    Westwood, NJ, United States Care One Enterprise Full time

    Balance Life & Work with a New Career Opportunity (LONG TERM CARE) (SHORT TERM REHAB) (SKILLED NURSING) (SUB ACUTE CARE) Now Hiring - Licensed Practical Nurse - (Westwood), (NJ) (CareOne at Valley) The Licensed Practical Nurse will be responsible for, but not limited to: Day-to-day coordination and oversight of the nursing process for residents assigned...