Payor Credentialing Specialist - Syracuse - Crouse Hospital

    Crouse Hospital
    Crouse Hospital Syracuse

    1 day ago

    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:

    • 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.
    Payor Credentialing Specialist Position Requirements:
    • 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.
    Benefits Overview:
    • 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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    Payor Credentialing Specialist

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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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