Credentialing specialist [h1.location_city]

Job Description

Job title : Credentialing Specialist

Job location : New York, NY 10004

Shift : 9 : 00 AM-5 : 00 PM

Pay : $20-$29 / hr

Contract : 3-month possible extension

Skills :

Healthcare Field Experience

Bachelors Degree

Duties :

Facilitate all aspects of provider credentialing, including initial appointments, reappointments, credential audits, and clinical privileging for Medical Staff, Allied Health Professionals, and other providers in accordance with corporate policies, procedures, and hospital bylaws.

Utilize the MDStaff credentialing software application to perform and monitor credentialing and background checks while ensuring accuracy and data integrity.

Interpret and ensure compliance with applicable accrediting and regulatory agency requirements, maintaining working knowledge of statutes and laws related to credentialing.

Responsible for all aspects of provider credentialing and re-credentialing.

Ensure physician licenses are renewed prior to expiration.

Complete primary source verification for new and existing providers to ensure due diligence.

Maintain and update assigned physician files, ensuring records are current and accurate.

Utilize database status alerts, reporting functions, software tools, and scanned documentation.

Maintain consistency in database entry to support accurate credentialing standards and processes.

Provide credentialing back-up coverage for other members of the credentialing team.

Pride Global offers eligible employees 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.