TIME COMMITMENT: Full-time
JOB TYPE: Temporary
Start Date: ASAP
Work Hours: Monday to Friday, 8:00 AM to 5:00 PM (8 hours per day)
Duration: Up to 6 months (potential temp-to-hire for the right candidate)
LOCATION: New York, NY - Hybrid (NYC, preferably Tuesdays & Wednesdays but negotiable for at least one of those days)
SALARY: $20-$23 per hour
START DATE: ASAP
APPLICATION DEADLINE: ASAP
GENERAL FUNCTION
The Credentialing Coordinator serves as a key resource for administering the credentialing and re-credentialing activities within the team. This role ensures that all providers meet the necessary credentialing requirements for participation.
MAJOR DUTIES AND RESPONSIBILITIES
- Support the overall provider credentialing and re-credentialing processes while maintaining standard turnaround times.
- Ensure credentialing and re-credentialing files are started on time and continue in the process according to standards.
- Monitor the participating provider network for credentialing/re-credentialing deficiencies and take necessary action per policies and procedures.
- Terminate providers who do not comply with credentialing standards.
- Prepare and execute outbound communications related to credentialing events.
- Research discrepancies related to provider information.
- Assist in preparing weekly rosters to present providers for committee approvals/denials.
- Support credentialing audits by pulling files and preparing them for presentation to external clients.
- Obtain missing information from various sources, including providers, to ensure compliance with the Network.
- Execute reports to review and update provider information and provide status to management.
- Prepare reports on the status of credentialing activities.
BASIC QUALIFICATIONS
- High School Diploma
- 2-3 years of business experience in healthcare provider credentialing
- Proficient in Microsoft Office Products (Word, Excel, Access)
- Excellent written and verbal communication skills
- Ability to work independently, under pressure, and handle multiple tasks simultaneously
- Strong time management skills for managing multiple projects concurrently
PREFERRED QUALIFICATIONS
- Associate or Bachelor’s Degree
- Knowledge of the credentialing/provider industry
- Demonstrated sense of urgency
- Experience with operating systems such as EDW/Business Objects
