Credentialing Coordinator

5 days ago


New York, New York, United States Network Temp Inc Full time
Job Description

We are seeking a highly skilled Credentialing Coordinator to join our team at Network Temp Inc. As a Credentialing Coordinator, you will be responsible for maintaining communication with credentialing contacts at facilities and provider sites to coordinate receipt of information required for credentialing, re-credentialing, and update of provider credentialing information.

Main Responsibilities:

  • Maintain communication with credentialing contacts to coordinate receipt of information
  • Review provider re-credentialing and credentialing files for completion and presentation to the Credentialing Committee
  • Perform primary source verification on required elements and in accordance with regulatory guidelines and policies and procedures
  • Data entry and upkeep of provider information in the credentialing and other pertinent databases
  • Verify New York State OPMC, Medicare/Medicaid lists and other pertinent databases for any current sanctions, restrictions on licensure, and limitations on the scope of practice on all credentialed providers in interim credentialing periods
  • Generate and disseminate monthly provider credentialing updates to appropriate departments and participating facilities and provider groups

Requirements:

  • High school Degree required; Bachelor's Degree preferred
  • 2 years of previous experience with provider credentialing processes and procedures
  • Knowledge of CACTUS or MD-Staff preferred
  • Must be able to handle multiple projects simultaneously
  • Comprehensive knowledge of managed care with a specific emphasis on physician credentialing
  • Ability to meet time-sensitive deadlines and multi-task in a changing healthcare environment

Salary: $60,000 - $80,000 per year, depending on experience. Benefits include medical, dental, and vision insurance, 401(k) matching, and paid time off.



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