Credentialing Specialist
5 days ago
Momentum Resource Solutions is seeking a skilled Credentialing Coordinator to join our team. As a Credentialing Coordinator, you will play a critical role in ensuring the accuracy and completeness of provider credentialing information.
Key Responsibilities- Establish and maintain effective communication with credentialing contacts at facilities and provider sites to coordinate the receipt of necessary information for credentialing, re-credentialing, and updates to provider credentialing information.
- Review provider-credentialing files for completion and present them to the Credentialing Committee.
- Perform primary source verification on required elements and adhere to MetroPlus' policies and procedures.
- Enter and maintain provider information in the credentialing database.
- Verify New York State OPMC and Medicare/Medicaid for any current sanctions, restrictions on licensure, and/or limitations on the scope of practice on all credentialed providers during interim credentialing periods.
- Generate and disseminate monthly provider credentialing updates to relevant departments at Health Plan and participating facilities and providers.
- Create, copy, file, and maintain all relevant documentation in provider credentialing folders.
- Perform annual delegated file audits and participate in pre-delegation and delegation site reviews.
- Respond to inquiries from other departments regarding a provider's credentialing status.
- Perform other related tasks as directed by the Director of Provider Services and the Credentialing Manager.
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Credentialing Specialist
5 days ago
New York, New York, United States eTeam Full timeCredentialing Specialist Job DescriptionThe Credentialing Specialist plays a critical role in ensuring the accuracy and integrity of provider credentialing processes. This position is responsible for facilitating all aspects of provider credentialing, including initial appointment, reappointment, credential audits, and clinical privileging for Medical Staff,...
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Credentialing Specialist
2 weeks ago
New York, New York, United States NavitsPartners Full timeCredentialing Specialist Job Description **Job Summary:** The Credentialing Specialist is a critical role at NavitsPartners, responsible for ensuring the accuracy and integrity of provider credentialing processes. **Key Responsibilities:** * Facilitate all aspects of provider credentialing, including initial appointment, reappointment, credential audits,...
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Credentialing Specialist
7 days ago
New York, New York, United States LanceSoft Full timeCredentialing Specialist Job DescriptionLanceSoft is seeking a skilled Credentialing Specialist to facilitate all aspects of provider credentialing, including initial appointment, reappointment, credential audits, and clinical privileging for Medical Staff, Allied Health Professionals, and other providers.Key Responsibilities:Utilize MDStaff credentialing...
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Credentialing Specialist
1 week ago
New York, New York, United States ATD Technology LLC Full timeJob SummaryWe are seeking a highly skilled Credentialing Specialist to join our team at ATD Technology, LLC. As a Credentialing Specialist, you will be responsible for facilitating all aspects of provider credentialing, including initial appointment, reappointment, credential audits, and clinical privileging for Medical Staff, Allied Health Professionals,...
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Credentialing Specialist
5 days ago
New York, New York, United States Central Office Full timeCredentialing Specialist Job DescriptionCentral Office is seeking a skilled Credentialing Specialist to facilitate all aspects of provider credentialing, including initial appointment, reappointment, credential audits, and clinical privileging for Medical Staff, Allied Health Professionals, and other providers as per corporate policies and hospital...
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Credentialing Specialist
5 days ago
New York, New York, United States DIVERSE LYNX LLC Full timeCredentialing Specialist Job DescriptionThe Credentialing Specialist is a vital member of the DIVERSE LYNX LLC team, responsible for ensuring the accuracy and integrity of provider credentialing and clinical privileging processes. This role requires a high level of attention to detail, strong organizational skills, and the ability to work effectively in a...
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Credentialing Specialist
6 days ago
New York, New York, United States Network Temp Inc Full timeJob DescriptionNetwork Temp Inc is seeking a skilled Credentialing Specialist to join our team. As a Credentialing Specialist, you will play a critical role in ensuring the accuracy and completeness of provider credentialing information. Your attention to detail and organizational skills will be essential in maintaining communication with facilities and...
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Credentialing Specialist
1 month ago
New York, New York, United States RTA US Full timeJob OverviewRTA US, a prominent player in the eyewear industry, is looking for a Credentialing Specialist.The Credentialing Specialist will be a key contributor in managing the credentialing and re-credentialing processes within the organization.Employment Type: Contract/ HybridLocation: New York, NYCompensation: $20-$24/hr, based on experienceKey...
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Credentialing Specialist
2 weeks ago
New York, New York, United States NavitsPartners Full timeNavitsPartners is seeking a skilled Credentialing Specialist to oversee the comprehensive process of provider credentialing. The ideal candidate will possess a strong understanding of accrediting and regulatory agency standards, as well as proficiency in utilizing MDStaff or similar credentialing software applications. Key responsibilities include executing...
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Credentialing Specialist
7 days ago
New York, New York, United States Atria Consulting Full timeAtria Consulting is seeking a skilled Credentialing SpecialistThe ideal candidate will be responsible for facilitating all aspects of provider credentialing, including initial appointment, reappointment, and credential audits. This role requires strong organizational and communication skills to ensure seamless credentialing processes.Key...
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Credentialing Specialist
2 weeks ago
New York, New York, United States Atria Consulting Full timeAtria Consulting is seeking a skilled Credentialing Specialist to facilitate provider credentialing processes. Key responsibilities include initial appointment, reappointment, credential audits, and clinical privilege management. The ideal candidate will possess strong organizational skills and experience in healthcare credentialing. If you are a...
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Credentialing Specialist
6 days ago
New York, New York, United States LifeMD Full timeAbout LifeMDLifeMD is a leading provider of virtual primary care, headquartered in NYC. Our vertically-integrated digital care platform, 50-state affiliated medical group, and US-based patient care center enable us to elevate healthcare by increasing access to top-notch and affordable care.We are currently in the midst of immense growth and were recently...
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Medical Credentialing Specialist
3 weeks ago
New York, New York, United States TemPositions Full timeMedical Credentialing Specialist Job DescriptionWe are seeking a highly skilled Medical Credentialing Specialist to join our team at TemPositions. As a Medical Credentialing Specialist, you will be responsible for credentialing physicians and other medical providers into various insurance companies.Key Responsibilities:Verify and validate provider...
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Medical Credentialing Specialist
1 week ago
New York, New York, United States TemPositions Full timeMedical Credentialing Specialist Job DescriptionWe are seeking a highly skilled Medical Credentialing Specialist to join our team at TemPositions. As a Medical Credentialing Specialist, you will be responsible for credentialing physicians and other medical providers into various insurance companies.Key Responsibilities:Verify and validate provider...
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Credentialing Specialist
4 weeks ago
New York, New York, United States Bernard Nickels & Associates Full timeTIME COMMITMENT: Full-timeJOB TYPE: TemporaryGENERAL FUNCTION:The Credentialing Specialist plays a vital role in managing the credentialing and re-credentialing processes within the organization. This position is responsible for ensuring that all healthcare providers fulfill the essential credentialing criteria for participation.KEY...
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Credentialing Specialist
4 weeks ago
New York, New York, United States Bernard Nickels & Associates Full timeTIME COMMITMENT: Full-timeJOB TYPE: TemporaryGENERAL FUNCTION:The Credentialing Specialist plays a vital role in managing the credentialing and re-credentialing processes within the organization. This position is essential in ensuring that all healthcare providers meet the required standards for participation.KEY RESPONSIBILITIES:Facilitate the overall...
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Credentialing Specialist
1 month ago
New York, New York, United States Bernard Nickels & Associates Full timeTIME COMMITMENT: Full-timeJOB TYPE: TemporaryGENERAL FUNCTION:The Credentialing Specialist plays a crucial role in managing the credentialing and re-credentialing processes within the organization. This position is responsible for ensuring that all healthcare providers meet the essential credentialing criteria for participation.KEY...
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Credentialing Specialist
1 month ago
New York, New York, United States Bernard Nickels & Associates Full timeTIME COMMITMENT: Full-timeJOB TYPE: TemporaryGENERAL FUNCTION:The Credentialing Specialist plays a crucial role in managing the credentialing and re-credentialing processes within the organization. This position is responsible for ensuring that all healthcare providers fulfill the required credentialing standards for participation.KEY...
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Credentialing Specialist
1 day ago
New York, New York, United States Network Temp Inc Full timeJob DescriptionNetwork Temp Inc is seeking a skilled Credentialing Specialist to join our team.Key Responsibilities:Maintain effective communication with credentialing contacts at facilities and provider sites to ensure timely receipt of information required for credentialing, re-credentialing, and update of provider credentialing information.Review provider...
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Healthcare Credentialing Specialist
2 weeks ago
New York, New York, United States Global Channel Management Full timeHealthcare Credentialing Specialist Role Overview At Global Channel Management, we are seeking a skilled Healthcare Credentialing Specialist to join our team. The successful candidate will be responsible for managing the credentialing process and partnering with doctors to ensure all paperwork is complete, accurate, and accounted for. Key...