Credentialing Coordinator

2 days ago

New York, United States Careers Integrated Resources Inc Full time

Job Title: Credentialing Coordinator

Locations: New York, NY 10004

Initial Duration: 2 Months (with possible extension)


Shift Time: Hybrid: 9am to 5pm

Pay range: $28 - $32/hr. on W2

Duties:

Maintain communication with the credentialing contacts at facilities and provider sites to coordinate receipt of information required for credentialing, re-credentialing, and update of provider credentialing information

Review provider re-credentialing and credentialing file for completion and presentation to the Credentialing Committee.

Perform primary source verification on required elements and in accordance regulatory guidelines and clients policies and procedures

Data entry and upkeep of provider information in the credentialing and other pertinent databases

Verify New York State OProduct, Medicare/Medicaid lists and other pertinent databases for any current sanctions, restrictions on licensure and/or limitations on the Product of practice on all credentialed providers in interim credentialing periods

Verify New York State license registration and DEA registration status for all credentialed providers in the interim credentialing periods

Generate and disseminate monthly provider credentialing updates to appropriate departments at clienth and participating facilities and provider groups

Review and respond to request for credentialing information/copies of credentialing files to appropriate departments within client

Generate and disseminate provider rosters to delegated facilities, contracted group practices etc.

Perform provider roster reconciliation

Create, copy, file, and maintain all relevant documentation into provider credentialing folder.

Maintain confidentiality of provider credentials by filing the credentialing folder in respective cabinets in the file rooms.

Perform annual delegated file audits and participate in pre-delegation and delegation site reviews

Respond to inquiries from other client departments relative to a providers credentialing status

Performs other related tasks as directed by the Deputy Chief Operating Officer or her designee, the Credentialing Director or Credentialing Team Lead

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