Credentialing Specialist

Credentialing Specialist

JOB-10041214

Anticipated Start Date

May 13, 2024

Location

New York, NY

Type of Employment

Contract Hire

Employer Info

Our client provides top-ranked care, dozens of inpatient and outpatient specialties, and mental health services with a team of highly trained and caring medical professionals who are compassionate, culturally competent and patient centered. Their vision is to be a fully integrated health system that enables New Yorkers to live their healthiest lives. Many of their roles are temp-to-hire, giving our client and our candidates the opportunity to ensure they are the right fit for a full-time position, as this comes with career advancement opportunities and excellent benefits. In fact, over 30% of our candidates have converted to full time positions at our client.

Job Summary

We are looking for individual to join our client’s team as a Credentialing Specialist. You will be responsible for facilitating all aspects of provider credentialing, including initial appointment, reappointment, credential audits, as well as clinical privileging for Medical Staff, Allied Health Professionals, and all other providers as outlined in the corporate policy and procedures, or hospital bylaws.

Job Description

• Utilize MD Staff credentialing software application to perform and monitor all credentialing/background checks, while maintaining accuracy and data integrity.
• Responsible for all aspects of provider credentialing and re-credentialing.
• Responsible for interpretation and compliance with the appropriate accrediting and regulatory agencies, while developing and maintaining a working knowledge of the statues and laws relating to credentialing.
• License Renewals: Ensures that physician licenses are renewed prior to expiration.
• Primary Source Verification: Completes primary source verification for new and existing providers to ensure due diligence.

Skills Required

• Records Management: Maintains assigned physician files, updating each item/action as processed.
• Utilizes database status/alert and other report functions, software tools and links to scanned documentation.
• Ensures that information is current and accurate.
• Credentialing Standards: maintains consistency in database entry to ensure accurate and consistent processes.
• Back-up Coverage: provide credentialing back-up for other members of the credentialing group.

Education/Training/Certifications

• Bachelor's Degree

Additional Requirements

• Shift Time: 9:00 AM – 5:00 PM

 Pay Rate

• $28.00 per hour
• We are an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law.