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,