Credentialing Program Assistant

2 weeks ago

Peekskill, United States Sun River Health Full time
Job Description

Sun River Health provides the highest quality of comprehensive primary, preventative, and behavioral health services to all who seek it, regardless of insurance status and ability to pay, especially for the underserved and vulnerable. Sun River Health is a Federally Qualified, Non-Profit Health Center serving communities in Suffolk, Rockland, Orange, Dutchess, Ulster, Sullivan, Columbia, NYC and Westchester County. Sun River Health is currently seeking a full-time Credentialing Program Assistant. This is a hybrid position that will report to our Peekskill Executive office on non-remote working days. Remote schedule will be determined by manager and subject to change. This is a 35 hour per week role, Monday-Friday 9 a.m.-5 p.m.

A Credentialing Program Assistant is responsible to assist in maintaining Provider Credentialing files as well as to assist the Director of Credentialing with day to day department work as required.

Essential Job Duties and Responsibilities:
  • Maintain all Provider Files and Relevant Excel Spreadsheet on an ongoing basis
  • Enter providers data into IntelliCred Software
  • Primary Source for Other Licensed or Certified practitioners (OLCPs) and Other Clinical Staff
  • Completion of new providers' credentialing process through on-boarding
  • Completion current providers' recredentialing process
  • Follow-up with Credentials Verification Organization regarding completion of credentialing and recredentialing
  • Data Entry, Provider Peer Audits, report to each provider file, Excel spreadsheet kept of audits received, copy to CMO when requested
  • Assist in maintenance of calculations needed for yearly provider performance evaluation results and report data to financial analyst for Chief of Medical Officer
  • Process provider Reimbursements, log them into a spreadsheet, have them approved by an appropriate supervisor
  • They will perform other duties as assigned or requested. In addition, perform job duties in compliance with systems and job specific standards
  • Establishes and maintains good relationships with providers
  • Updating and Maintenance of delegated credentialing spreadsheet
  • Performs all clerical duties related to the Credentialing Department Operations, including scheduling meetings, filing and typing minutes

Minimum Education Requirement: High School Diploma/GED

Preferred Education Requirement: Associate's Degree or Bachelor's Degree

Minimum Related Work Experience: 2-4 years

Minimum Specialized Skills & Knowledge Requirement: Ability to communicate in English (oral and written)

Job Type: Full-time

Salary: $21.00 - $23.00 per hour

Responsibilities

Relation to Mission
The mission of Sun River Health is to increase access to comprehensive primary and preventive health care and to improve the health status of our community, especially for the underserved and vulnerable.

Equal Employment Opportunity
Sun River Health provides equal employment opportunities to all qualified individuals without regard to race, creed, color, religion, national origin, age, sex, marital status, sexual preference, or non-disqualifying physical or mental handicap or disability in each aspect of the human resources function.

Americans with Disabilities Act
Applicants as well as employees who are or become disabled must be able to perform the essential job functions either unaided or with reasonable accommodation. The organization shall determine reasonable accommodation on a case-by-case basis in accordance with applicable law.

Job Responsibilities
The following statements reflect the general duties, responsibilities and competencies considered necessary to perform the essential functions of the job and should not be considered as a detailed description of all the work requirements of the position. Sun River Health may change the specific job duties with or without prior notice based on the needs of the organization.

About Us

Sun River Health is a network of 43 Federally Qualified Health Centers (FQHCs) providing primary, dental, pediatric, OB-GYN, and behavioral health care to over 245,000 patients annually. With a dedicated staff of 2,000 doctors, nurses, and health care professionals, we pride ourselves on delivering high-quality, affordable care to those who need it most. Sun River Health started in 1975 when four African American mothers spearheaded efforts to open our first health center in Peekskill, New York to deliver accessible, high-quality, affordable services to patients in need - no matter their race, religion, income, or insurance status. Today, after 45 years of service, Sun River Health is still delivering on that promise to communities across the Hudson Valley, New York City, and Long Island.

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