Credentialing Specialist

4 days ago


New York, New York, United States CAIPA MSO LLC Full time
Credentialing Specialist Job Description

We are seeking a highly skilled Credentialing Specialist to join our team at CAIPA MSO LLC. As a Credentialing Specialist, you will play a critical role in ensuring that all healthcare professionals are credentialed and participating in company contracted managed care organizations (MCOs).

Key Responsibilities:
  • Evaluate, analyze, and coordinate all aspects of the credentialing and re-credentialing processes for practitioners practicing within the CAIPA Network.
  • Provide integral support to healthcare operations by enabling timely onboarding of healthcare providers.
  • Work collaboratively with offices, marketing team, and MCOs to drive membership growth and retention.
  • Monitor and identify trends on membership decline and escalate to leadership as appropriate.
  • Meet organization membership objectives by recruiting, engaging, and communicating with the target market.
  • Demonstrate superior time management skills and meet target deadlines.
Requirements:
  • High school diploma or GED; at least five years of experience directly related to the duties and responsibilities specified.
  • Excellent multi-tasking, prioritizing, and time management skills.
  • Knowledge and experience with Google applications, Adobe, and Microsoft Office products.
  • Proficient in creating and manipulating spreadsheets utilizing intermediate formulas and functions.
  • Critical thinking skills to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
  • Strong communication and interpersonal skills to effectively present information and respond to questions from representatives, providers, and the general public.
Benefits:
  • Competitive Medical, Dental, and Vision Benefits
  • 401k Retirement Plan
  • 13 Paid Holidays
  • PTO Rollover

Salary: $45k - $58k



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