- Credential newly hired clinicians with applicable insurance payers for timely billing.
- Collect, Submit, & Track all necessary documentation.
- Process re-credentialing for existing clinicians as required by individual payers.
- Maintain a current, accurate database of all clinicians' credentialing / licensure status, needs, expirations, issues, etc. Share with internal staff as applicable.
- Communicate & Coordinate with all levels of internal staff & external stakeholders to ensure timely & consistent qualification is met & maintained.
- Monitor expiring credentials to ensure ongoing compliance with regulatory guidelines.
- Investigate and resolve any issues that arise during the approval process.
- Under the direction of leadership, assist with site level enrollments or changes to contract.
- Other duties as deemed necessary.
- Assumes other duties as assigned by department leadership.
- High School Diploma or GED required, Bachelor's Degree preferred.
- Minimum of 2 years' experience in provider enrollment required.
- Knowledge of Medicare, Medicaid & third-party provider enrollment processes.
- Strong understanding of managed care processes.
- Experience working in a medical office or healthcare setting.
- Familiarity with medical terminology and its application in credentialing.
- Previous experience with NCQA standards or similar accreditation processes.
- Professional written and verbal communication and interpersonal skills.
- Excellent organizational skills with a keen eye for detail.
- Ability to communicate effectively with diverse stakeholders
- Proficiency in Microsoft Office and EMR systems, EPIC preferred.
- Proficiency in CAQH, PECOS & NPPES preferred.
- Medical, Dental, Vision, FSA, and 401K.
- Company paid life insurance.
- Tuition Assistance and Workforce Development Opportunities.
- Crouse Health Employee Assistance Program.
- Employee discounts on any Inpatient or Outpatient service, hospital cafeteria and pharmacy, and certain retailers.
- YMCA Subsidy program.
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Medical Staff Administration - 111 · Syracuse, NY · Non Clinical · Full-Time, Days, 8:00-4:30 · Req # 31867 · Posted 02/26/2026 · Since 1887, Crouse Health has been a leading healthcare provider in Central New York. We've combined a family-friendly culture with a passion to provi ...
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Payor Credentialing Specialist - Syracuse - Crouse Hospital
Description
Since 1887, Crouse Health has been a leading healthcare provider in Central New York. We've combined a family-friendly culture with a passion to provide the best care, which creates an environment where both patients and team members feel valued. Crouse Health offers a full range of general and specialty care, inpatient and outpatient services, as well as community health education and outreach programs.
Crouse's Medical Staff Administration team is hiring a Payor Credentialing Specialist to credential all newly hired clinicians (MD, NP, PA) with all participating insurers for Crouse Hospital and Crouse Medical Practice.
Pay Range: $65, $80,000.00 / annual
Schedules: Monday-Friday, 8:00am-4:30pm
Payor Credentialing Specialist Position Responsibilities:
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