Job Description

Actively hiring "Credentialing Specialist" at Summit , NJ for position at a Hospital. pay rate is $34-$35/hr.

Please find below details of the position.

Position: Credentialing Specialist

Location: Summit , NJ

Duration: 3+-month contract with Possibility of extension.

Shift: 8a- 4p

Pay - $34-$35/hr.

Job Requirement:

Skills

Review provider re-credentialing and credentialing file for completion and presentation to the Credentialing Committee.
Perform primary source verification on required elements and in accordance regulatory guidelines and Metro Plus Health’s policies and procedures
Data entry and upkeep of provider information in the credentialing and other pertinent databases • Verify New York State OPMC, Medicare/Medicaid lists and other pertinent databases for any current sanctions, restrictions on licensure and/or limitations on the scope of practice on all credentialed providers in interim credentialing periods
Verify New York State license registration and DEA registration status for all credentialed providers in the interim credentialing periods
Generate and disseminate monthly provider credentialing updates to appropriate departments at MetroPlusHealth and participating facilities and provider groups
Review and respond to request for credentialing information/copies of credentialing files to appropriate departments within MetroPlusHealth
Generate and disseminate provider rosters to delegated facilities, contracted group practices etc.
Perform provider roster reconciliation
Create, copy, file, and maintain all relevant documentation into provider credentialing folder.

Education

High School diploma or High School equivalency required Bachelors Degree preferred

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.

Job Tags

Contract work, Interim role, Shift work,

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Credentialing Specialist Job at Pride Health, Summit, NJ

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