Credentialing Admin Support Associate - FlexStaff

Northwell Health; Village of Lake Success (NY); On-site; USD 60,000 - 80,000; Full time

Job summary

Northwell Health is seeking a Credentialing Coordinator to assure credentialing of healthcare providers in line with organizational policies and regulations. You will verify credentials, track responses, and follow up to prevent delays.

This role maintains credential records, reviews files with management, and generates performance reports for internal and external stakeholders. Strong attention to detail and prior physician credentialing experience are required.

Qualifications

• 1-3 years of relevant experience, required.
• Must have experience working with physician credentialing.
• High School Diploma or equivalent required.

Responsibilities

• Obtains source verification of credentials in accordance with prevailing policies and procedures.
• Tracks responses and follows-up on items not received within established cycle periods.
• Reviews completed files with management in accordance with established schedules.
• Maintains credential records.
• Produces management reports regarding operations performance and/or provider credentialing status for internal management and external providers using the health system's verification services.
• Adheres to operating policies and procedures including delivery of completed work and use of resources.
• Initiates correspondence to providers, users, health plans and others as necessary to obtain requisite credentialing information.
• Informs management regarding the status of departmental operations and provider credentialing issues of concern.
• Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.

Skills

Credentialing

Source verification

Record keeping

Data reporting

Communication

Education

High School diploma or equivalent

Job description

Assures the credentialing of healthcare providers is conducted in accordance with organizational policies, operational procedures, and applicable governmental and regulatory agency regulations and standards. Performs activities associated with verification, tracking inquiries, and follow-up on problems which may delay completion of the file.

Job Responsibilities:

• Obtains source verification of credentials in accordance with prevailing policies and procedures.
• Tracks responses and follows-up on items not received within established cycle periods.
• Reviews completed files with management in accordance with established schedules.
• Maintains credential records.
• Produces management reports regarding operations performance and/or provider credentialing status for internal management and external providers using the health system's verification services.
• Adheres to operating policies and procedures including delivery of completed work and use of resources.
• Initiates correspondence to providers, users, health plans and others as necessary to obtain requisite credentialing information.
• Informs management regarding the status of departmental operations and provider credentialing issues of concern.
• Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.

Qualifications:

• High School Diploma or equivalent required.
• 1-3 years of relevant experience, required.
• Must have experience working with physician credentialing.

*Additional Salary Detail

The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).