Credentialing Coordinator
5 days ago
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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Credentialing Coordinator
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