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Credentialing Specialist
Credentialing SpecialistPRIDE Health • Summit, NJ, United States
Credentialing Specialist

Credentialing Specialist

PRIDE Health • Summit, NJ, United States
[job_card.1_day_ago]
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  • [job_card.full_time]
[job_card.job_description]

Position Overview

Title : Credentialing Specialist

Location : Summit, NJ 07901, and Hackettstown, NJ 07840

Schedule : 8 : 00 AM - 4 : 00 PM.

Duration : 13 weeks with a high possibility of extension

Pay Rate : $27 - $30 / Hr W2

Job Description

The Credentialing Specialist ensures all healthcare providers meet regulatory, organizational, and accreditation standards. This role processes high-volume credentialing applications, verifies provider qualifications, and maintains accurate records in the Echo database.

Key Responsibilities

  • Process and review 125-200 initial and reappointment applications quarterly.
  • Verify education, training, licensure, certifications, malpractice history, and work experience.
  • Maintain provider records in Echo; track license and certification expirations.
  • Prepare credentialing files for Credentials Committee, MEC, and Board of Trustees meetings.
  • Ensure compliance with federal / state regulations, bylaws, and standards such as TJC / NCQA.
  • Coordinate with providers, medical staff offices, HR, and insurance networks.
  • Maintain confidentiality and support medical staff meeting scheduling and minutes.

Skills & Qualifications

  • Knowledge of credentialing processes and regulatory standards.
  • Strong organizational, communication, and analytical skills.
  • Ability to manage multiple priorities and work independently.
  • Proficiency with Echo and general computer systems.
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