Credentialing Coordinator

Metropolitan Jewish Health System, Inc.; New York (NY); On-site; USD 52,000 - 66,000; Full time

Job summary

Metropolitan Jewish Health System, Inc. is seeking a Credentialing Coordinator to support credentialing and recredentialing of network physicians, ensuring timely processing and data accuracy.

You will review files from external CVO or in-house, verify completeness, contact providers for information, and create credentialing profiles while organizing provider data for audits. The role requires a high school diploma and at least two years of related experience; proficiency in MS Word, Excel, and

Qualifications

• High School diploma.
• Minimum two years of related experience. Managed Care and/or Credentialing experience preferred.
• Proficient in MS Word, Excel and E-mail applications

Responsibilities

• Assist in credentialing and recredentialing of network physicians.
• Review files processed by external CVO or in-house to verify completeness.
• Contact providers to obtain information for the credentialing process and create credentialing profiles.
• Organize provider data for audits and easy access

Skills

MS Word

Excel

Email applications

Education

High School diploma

Tools

MS Word

Excel

Email applications

Job description

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.

Assisting the Credentialing Coordinator in the Credentialing and Recredentialing of Network Physicians by following through with requests and auditing files. The credentialing coordinator will review files processed by external CVO or processed in-house to verify completeness, contact providers to obtain information for the credentialing process, and also create credentialing profiles and organize provider data.

• High School diploma
• Minimum two (2) years of related experience. Managed Care and/or Credentialing experience preferred.
• Proficient in MS Word, Excel and E-mail applications