Credentialing Coordinator - New York - Pride Health

    Pride Health
    Pride Health New York

    11 hours ago

    Healthcare
    Description

    Please find below the Job Description:

    • Job Title : Credentialing specialist
    • Duration : 3+ months-Possible to extend
    • Location : New York NY 10004
    • Pay Rate : $27-$29/Hr.

    Hours Per Week: 40.00

    Hours Per Day: 8.00

    Job Description:

    Duties

    1. Maintain communication with the credentialing contacts at facilities and provider sites to coordinate receipt of information required for credentialing, re-credentialing, and update of provider credentialing information

    2. Review provider-credentialing file for completion and presentation to the Credentialing Committee

    3. Perform primary source verification on required elements and in accordance with client policies and procedures

    4. Data entry and upkeep of provider information in the credentialing database

    5. 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 in interim credentialing periods

    6. Generate and disseminate monthly provider credentialing updates to appropriate departments at client Health Plan and participating facilities and providers

    7. Create, copy, file, and maintain all relevant documentation into provider credentialing folder

    8. Perform annual delegated file audits and participate in pre-delegation and delegation site reviews

    9. Respond to inquiries from other client departments relative to a provider's credentialing status 10. Performs other related tasks as directed by the Director of Provider Services and the Credentialing Manager

    Skills


    •Excellent communication and organizational skills
    •Previous experience with provider credentialing processes and procedures
    • Knowledge of credentialing policies and procedures preferred
    •Good computer skills and able to work with MS Office

    Education

    Required Bachelors Degree

    Benefits:

    Pride Health offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, , legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.


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