Credentialing Coordinator

MJHS; New York (NY); On-site; USD 48,000 - 64,000; Full time

Job summary

MJHS in New York, NY is seeking a Credentialing Coordinator to support the credentialing and recredentialing of network physicians. You will track requests, audit files, and verify completeness while liaising with providers to obtain needed information.

Proficiency with MS Word and Excel, along with strong email skills, is required. A high school diploma and at least two years of related experience (managed care/credentialing preferred) are expected.

Qualifications

• High School diploma is required.
• Minimum two years of related experience in managed care or credentialing preferred.
• Proficiency in MS Word, Excel and email applications.

Responsibilities

• Assist the Credentialing Coordinator in credentialing and recredentialing of network physicians by following through with requests and auditing files.
• Review files processed by external CVO or in-house to verify completeness, contact providers to obtain information for credentialing, and create credentialing profiles.

Skills

MS Word

MS Excel

Email applications

Education

High School diploma

Job description

Come lead with us at New York, NY

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