Credentialing Coordinator

2 days ago

Hackettstown, United States Pride Health Full time

Job Title: Credentialing Specialist

Location: Hackettstown, NJ 07840

Shift: 8 am - 4 pm - (40 Hours weekly)

Duration: 13 Weeks (Possible Extension)

Pay Range: $27 - 32/hr.

Start Date: 1/27/25


Job Summary:

  • Enforce regulatory compliance and quality assurance
  • Prepare and maintain reports of credentialing activities such as accreditation, membership or facility privileges
  • Ensure that all information meets legal, federal and state guidelines when processing applications Responsible for carrying out various credentialing processes in relation to physicians and allied health practitioners
  • Process applications for initials applicants as well as reappointments (approximately 125-200 quarterly)
  • Collect and process significant amounts of verification and accreditation information
  • Maintain and update accurate information in the Echo database (includes education, training, experience, licensure)
  • Prepare material for Credentials Committee meeting, MEC as well as Board of Trustees meeting Sets up and maintains provider information in Echo
  • Maintains confidentiality of provider information Ensure compliance with the Bylaws at each location as it pertains to the credentialing process Schedule, and on occasion attend and take minutes for site based medical staff department meetings
  • Process and collect dues for the site based medical staff Compiles and maintains current and accurate data for all providers Sets up and maintains provider information in online credentialing database
  • Tracks license and certification expirations for all providers Maintains confidentiality of provider information
  • All other duties as assigned


Education and Licensed/Certificate:

High School Diploma


Qualifications:

Knowledge of the credentialing process required

Ability to organize and prioritize work and manage multiple priorities

Excellent verbal and written communication skills

Ability to research and analyze data

Ability to work independently

Ability to establish and maintain effective working relationships

Excellent computer skills


Pride Health offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors

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