Credentialing Specialist Job at Pride Health, Summit, NJ

OVRZMUJsbW9BWml6ZUlNaGdBR1ZpQ2s4NlE9PQ==
  • Pride Health
  • Summit, NJ

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,

Similar Jobs

Addison Group

Senior Data Engineer Job at Addison Group

 ...Job Title: Sr. Data Engineer Location: Phoenix, AZ Job Type: Full Time Compensation: $130,000 - $150,000 D.O.E. Benefits...  ...consistency. QUALIFICATIONS ~ Bachelors degree in Computer Science, Engineering, or a related technical field, or equivalent... 

Soto Trucking

Truck Driver Job at Soto Trucking

 ...Now Hiring CDL Drivers Frac Sand Hauling (West Texas)&##128205; Odessa, TX | Local Routes Only (50 mile radius) We are seeking experienced and dependable CDL drivers for local frac sand hauling in the Odessa, Texas area. This role is ideal for drivers who want... 

Guthrie

Trainer, Revenue Integrity Job at Guthrie

Summary: The Trainer, Revenue Integrity is responsible for developing and delivering training programs that support accurate and compliant revenue cycle processes. This role ensures that staff across departments understand and adhere to revenue integrity standards, including...

Coalition Technologies

PPC Analyst Job at Coalition Technologies

**You Should Have:*** A minimum of 6 months experience managing SEM / PPC campaigns.* Experience with the Google Ads Editor and Bing Ads Editor.* Experience using the Keyword Planner Tool, or other keyword research tools.* One or more years of professional Google... 

Northrop Grumman Corp. (AU)

Fire Protection Engineer Job at Northrop Grumman Corp. (AU)

 ...impossible. Our employees are not only part of history, they're making history. Northrop Grumman Space Systems is seeking a Fire Protection Engineer for the Space Park site located in Redondo/Manhattan Beach, California . This position will be part of the...