Current jobs related to Credentialing Specialist - Melville - Catholic Health Service

  • Credentialing Specialist

    3 days ago

    Melville, New York, United States Catholic Health Service Full time

    Credentialing Specialist Job DescriptionCatholic Health Services is seeking a skilled Credentialing Specialist to join our team. As a Credentialing Specialist, you will be responsible for ensuring the accuracy and completeness of physician credentials, facilitating the credentialing process, and maintaining compliance with regulatory requirements.Key...

  • Credentialing Coordinator

    3 weeks ago

    Melville, New York, United States Catholic Health Full time

    Overview:Catholic Health stands as a premier health and human services organization on Long Island. Our extensive health system encompasses over 16,000 dedicated employees, including six acute care hospitals, three nursing facilities, a home health service, hospice care, and a comprehensive network of physician practices throughout the region.At Catholic...

  • Front Desk Receptionist

    3 weeks ago

    Melville, United States Orlin & Cohen Medical Specialist Group Full time $19 - $22

    Orlin & Cohen Orthopedic Group is the premier and fastest-growing orthopedic practice on Long Island, providing comprehensive care that helps thousands of our neighbors live more active lives, free from pain. Orlin & Cohen is one of the largest orthopedics practices in the region, with 19 offices in Nassau and Suffolk Counties, Queens, and Staten Island, we...

  • Surgical Technology Specialist

    3 weeks ago

    Melville, New York, United States Northwell Health Full time

    Northwell HealthJoin our innovative and dedicated team at Northwell Health, where we are committed to delivering exceptional patient care in our Outpatient Surgical Center. We are currently looking for a proficient and passionate Surgical Technology Specialist to enhance our surgical team. In this role, you will collaborate with leading surgeons and...

  • Client Support Specialist

    3 weeks ago

    Melville, New York, United States Northwell Health Full time

    Position Overview:The Client Support Specialist plays a crucial role in managing resources within the call center environment. This position is designed to facilitate the effective screening, assessment, and prioritization of incoming requests.Work Arrangement:This role offers a hybrid work model, combining both in-office and remote responsibilities.Key...

  • Certified Respiratory Care Specialist

    3 weeks ago

    Melville, New York, United States StaffPro Agency Full time

    Job OverviewStaffPro Agency is looking for a dedicated and experienced Certified Respiratory Care Specialist to become an integral part of our dynamic healthcare team. This position offers an exciting opportunity to utilize cutting-edge non-invasive monitoring technologies that significantly enhance patient care under the supervision of leading...

  • Medical Billing Specialist

    3 weeks ago

    Melville, United States Lloyd Staffing Remote Work Freelance Full time

    *Overview*We are seeking a dedicated Clinical Director to join our healthcare TRAINING and COACHING project.This is a team of clinical professionals who want to use their clinical experience to help train end users on new systems and and an EMR rollout.This will be a train the trainer project and than a GoLive training of end users in various clinical...

  • Client Support Specialist

    3 weeks ago

    Melville, New York, United States Northwell Health Full time

    Position Overview:As a vital member of our team, you will oversee resource allocation within the call center environment. Your role is crucial in ensuring the effective assessment, evaluation, and prioritization of incoming requests.Key Responsibilities:Manage resource allocation for the call center, fostering relationships with local healthcare providers to...

  • Product Solutions Specialist

    3 weeks ago

    Melville, New York, United States Northwell Health Full time

    Job OverviewThe role involves the analysis, verification, tracking, and recommendations for the implementation and maintenance of projects, products, and solutions. The position serves as a crucial link between various agile teams and project teams, ensuring the delivery of product and solution strategies along with training materials throughout the...

  • Surgical Technologist

    2 weeks ago

    Melville, New York, United States Northwell Health Full time

    Job Summary:We are seeking a highly skilled and experienced Surgical Technologist to join our team at Northwell Health. As a Surgical Technologist, you will play a critical role in ensuring the smooth operation of our operating rooms and providing exceptional patient care.Key Responsibilities:Assist surgeons and nurses in the operating room during surgical...

  • Construction Risk Underwriting Specialist

    3 weeks ago

    Melville, New York, United States Penn Foster Inc Full time

    Who Are We? At Penn Foster Inc, we prioritize the well-being of our clients, communities, and team members. This commitment is at the heart of our mission. For over 160 years, we have built a reputation as a leading property casualty insurer by fostering a culture of innovation and collaboration. Imagine a workplace where you truly enjoy what you do. Job...

  • Senior Tax Accounting Specialist

    3 weeks ago

    Melville, New York, United States UHY LLP Full time

    Position Overview:YOUR EXPERTISE MATTERS:We are seeking a Senior Tax Accounting Specialist to play a pivotal role in guiding our clients and supporting our internal teams as we expand in our operations.In this position, you will be tasked with preparing essential financial documentation for clients, including business and individual tax filings, while...

  • Safety and Risk Assessment Consultant

    3 weeks ago

    Melville, New York, United States The Travelers Companies, Inc Full time

    About Us At Travelers, we prioritize the well-being of our clients, communities, and each other. This commitment has established us as a leading property casualty insurer for over 160 years. Join our innovative and collaborative culture where you can truly enjoy your work and environment. Job Category Risk Control Compensation Overview The salary range for...

  • Technical Consultant for Risk Assessment

    3 weeks ago

    Melville, New York, United States The Travelers Companies, Inc Full time

    About Us At Travelers, we prioritize the well-being of our clients, communities, and each other. This commitment has established us as a leading property casualty insurer for over 160 years. Join us to experience a culture that fosters innovation and collaboration. Imagine enjoying your work and the environment in which you do it. Job Category Risk Control...

Credentialing Specialist

4 months ago

Melville, United States Catholic Health Service Full time
Overview

Catholic Health is one of Long Island's finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island.

At Catholic Health, our primary focus is the way we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes - to every patient, every time.

We are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace

Responsibilities

The Credentialing Specialist will be responsible for auditing, data entry performed by clerical staff in Cactus Database, processing the initial and / or reappointment application in a timely manner, communicating with the applicant or re-applicant to keep them abreast on the status of their application and ensure processing is moving smoothly, following up with practitioner on missing items for packet, run all appropriate verifications related to the initial appointment / reappointment process, accurate and timely follow up with verifications - i.e. peer references, hospital affiliations, education, training, and work experience, accurate management of Cactus database for updating physician profiles and privileges at initial appointment and reappointment, prepare completed packets for Chief & Chairman / Director Review, post Credentials Committee / Board of Trustees follow up - i.e. updating privileges, status of applicant, generating appointment / reappointment letters, etc. and assist practitioners with questions when they call or come to our office.

Additional Responsibilities:
  • Utilizes all available resources to reach sound decisions.
  • Assumes responsibility for problems and initiates actions to solve them.
  • Work with others toward shared goals including participation in department problem-solving and improvement activities.
  • Bring issues related to the credentialing and/or recredentialing process to the attention of management in a timely fashion.
  • Foster change initiatives to ensure continuous performance improvement and service excellence.
  • Participate in Joint Commission preparation and NY State DOH Survey
  • Participate in Managed Care Audits Assist in preparation and mailing of correspondence required for Credentialing, when necessary
  • Provide support services and act as back up to clerical staff when necessary
  • With appropriate training, accept additional related duties, as needed.
  • Participate in education programs, in-service meetings, workshops, conferences, and committees.
  • Keep abreast of current literature and professional trends
  • Review and understand the Medical Staff Bylaws of each CH Facility Review and understand the Joint Commission Standards Review and understand the NCQA Standards
Requirements:
  • 5 years of Credentialing experience in a hospital setting
  • Proficient in Microsoft Office, including Word and Excel
  • Must have the ability to prioritize and have good listening, written and oral skills
  • Excellent customer service, oral/written communication, interpersonal, and organizational skills
  • Well versed in the use of the Cactus Database CPCS (Certified Provider Credentialing Specialist)
  • Knowledge of Cactus a plus Knowledge or experience with credentialing processes desirable


Pay Range

USD $27.00 - USD $30.00 /Hr.

Qualifications

This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate's qualifications, skills, competencies and experience. The salary range or rate listed does not include any bonuses/incentive, or other forms of compensation that may be applicable to this job and it does not include the value of benefits.

At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.