Credentialing Specialist

2 weeks ago


Summit, United States Pride Health Full time

Position OverviewTitle: Credentialing SpecialistLocation: Summit, NJ 07901, and Hackettstown, NJ 07840Schedule: 8:00 AM - 4:00 PM.Duration: 13 weeks with a high possibility of extensionPay Rate: $27 - $30/Hr W2Job DescriptionThe Credentialing Specialist ensures all healthcare providers meet regulatory, organizational, and accreditation standards. This role processes high-volume credentialing applications, verifies provider qualifications, and maintains accurate records in the Echo database.Key ResponsibilitiesProcess and review 125–200 initial and reappointment applications quarterly.Verify education, training, licensure, certifications, malpractice history, and work experience.Maintain provider records in Echo; track license and certification expirations.Prepare credentialing files for Credentials Committee, MEC, and Board of Trustees meetings.Ensure compliance with federal/state regulations, bylaws, and standards such as TJC/NCQA.Coordinate with providers, medical staff offices, HR, and insurance networks.Maintain confidentiality and support medical staff meeting scheduling and minutes.Skills & QualificationsKnowledge of credentialing processes and regulatory standards.Strong organizational, communication, and analytical skills.Ability to manage multiple priorities and work independently.Proficiency with Echo and general computer systems.



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