- Process initial and recredentialing applications for physicians and allied health professional.
- On a monthly basis, track expiring licensure and send reminder notices to practitioners.
- Collect and verify background information for practitioners using primary and secondary sources by querying various websites.
- Enter and maintain practitioner information in Credentialing database, as appropriate
- Maintain confidential credentials files and electronic medical staff databases.
- Assist with preparation of agenda for Credentialing Committee meetings and distribution of minutes to Committee members.
- Provide support during Managed Care, Joint Commission and DOH audits
- Additional tasks, as applicable
- 3-5 years experience in Medical staff Services and/or Credentialing
- CPCS Certification preferred
- High School diploma or Equivalency required
- B.S. Preferred
- Excellent written and verbal communication skills
- Excellent technical skills
- Excellent interpersonal skills
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The Medical Affairs Credentialing specialist processes credentialing and re-credentialing applications of physician and allied health practitioners. The specialist reviews applications conducts primary source verifications prepares appointment letters maintains Midas database.The ...
Farmingdale1 month ago
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Job summaryThe Medical Affairs Credentialing Specialist processes credentialing and re-credentialing applications of physician and allied health practitioners. · Process initial and recredentialing applications for physicians and allied health professional. · On a monthly basis, ...
Farmingdale, NY1 month ago
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FlexStaff is seeking a temporary Credentialing Specialist part time requiring travel between two locations during the week. · Obtains source verification of credentials in accordance with prevailing policies and procedures · Tacks responses and follows-up on items not received wi ...
Syosset Part time1 month ago
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Asegura la validación de proveedores de atención médica en conformidad con las políticas organizacionales. · •Obtiene verificación de credenciales según procedimientos operativos. · •Revisa archivos completos con gestión. · ...
Syosset TEMPORARY1 month ago
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OUR VISION · To continue as an eminent healthcare provider on Long Island, dedicating ourselves to providing exceptional health care for all our patients and to transform both the lives of the individual, and the community, for the better, one person at a time. · OUR MISSION · To ...
Garden City, NY1 day ago
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Navitas Healthcare LLC seeks highly organized Credentialing Specialists for provider credentialing recredentialing activities in New York NY. · Coordinate credentialing processes for physicians allied health professionals other applicable clinicians · Perform primary source verif ...
Hempstead, NY1 month ago
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· OUR VISIONTo continue as an eminent healthcare provider on Long Island, dedicating ourselves to providing exceptional health care for all our patients and to transform both the lives of the individual, and the community, for the better, one person at a time. · OUR MISSION · To ...
Garden City $70,000 - $80,000 (USD) Full time2 days ago
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· OUR VISIONTo continue as an eminent healthcare provider on Long Island, dedicating ourselves to providing exceptional health care for all our patients and to transform both the lives of the individual, and the community, for the better, one person at a time. · OUR MISSION · To ...
Garden City, NY, US1 day ago
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Navigate the job description to learn more about this job opportunity. · ...
Brentwood, NY1 month ago
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We're hiring a Credentialing Specialist to join our team at Metro PT. You'll play a key role ensuring providers are credentialed and compliant so patients have uninterrupted access to care. · ...
Garden City, NY1 month ago
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The Credentialing Specialist is responsible for facilitating all aspects of provider credentialing. Utilize MDStaff credentialing software application to perform and monitor all credentialing/background checks. Responsible for interpretation and compliance with the appropriate ac ...
New York3 weeks ago
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The Credentialing Specialist is responsible for facilitating all aspects of provider credentialing. · ...
New York1 week ago
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Build your Career. Make a Difference. Presbyterian is hiring a skilled Credentialing Specialist to join our team. · Analyze practitioner applications and/or requests to ensure that required documentation/information has been submitted in order to initiate the primary source verif ...
New York $18.33 - $27.25 (USD) Full time1 month ago
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Position Title: Credentialing Specialist · The Credentialing Specialist is responsible to coordinate and assist with the day-to-day administrative functions of the Department. · ...
New York Full time1 month ago
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The Credentialing Specialist is responsible for facilitating all aspects of provider credentialing, · Initial appointment and reappointmentCredential auditsClinical privileging · ...
New York, NY1 month ago
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Job summary: The successful candidate will be able to: Credentialing functions include processing credentialing applications, · following up with payers, · and updating and maintaining the CAQH data base.Credentialing functions include but are not limited to: · processing credent ...
Hoboken1 month ago
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The Credentialing Specialist will be responsible for the effective and timely manage care credentialing for all clinicians in accordance with federal state and department procedures. · ...
New York Full time4 weeks ago
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Credentialing specialist for healthcare experience with urgent opening. · ...
New York, NY2 weeks ago
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A large healthcare organization in Brooklyn seeks a detail-oriented Credentialing Specialist to manage credentialing and re-credentialing for healthcare providers. · ...
Brooklyn, NY1 month ago
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A well-respected healthcare system in New York City is seeking a Credentialing Specialist to manage all aspects of provider credentialing within a public health setting. · Ensuring physician licenses are renewed prior to expiration · Completing primary source verification for new ...
New York3 weeks ago
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Navitas Healthcare LLC is seeking a highly organized and detail-oriented Credentialing Specialist to support provider credentialing and recredentialing activities for medical staff and allied health professionals. · ...
White Plains, NY1 month ago
Credentialing Specialist - Old Bethpage - The Goodkind Group
Description
Type: Temp to Permanent (Full-Time)
Shift: Days
Hours: 8:30 AM 4:30 PM or 9am-5pm
Job Summary:
The Medical Affairs Credentialing Specialist processes credentialing and re-credentialing applications of physician and allied health practitioners. The Specialist reviews applications, conducts primary source verifications, prepares appointment letters, and maintains Midas database. The Credentialing Specialist contacts internal and external medical office staff, licensing agencies, and insurance carriers to complete credentialing applications.
The Credentialing Specialist should have a good working knowledge of commonly used concepts, practices, and procedures relative to NCQA and Joint Commission standards.
Responsibilities:
Requirements:
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