Credentialing Coordinator

Metropolitan Jewish Health System; New York (NY); On-site; USD 55,000 - 70,000; Full time

Job summary

Metropolitan Jewish Health System in New York City seeks a Credentialing Coordinator Assistant to support credentialing and recredentialing of Network Physicians. You will review files, audit completeness, and liaise with providers to obtain required information.

You will organize credentialing profiles, maintain provider data, and ensure accurate records for external CVOs or in-house processing. Ideal candidate has a high school diploma, at least two years in managed care or credentialing, and

Qualifications

• Two years of related credentialing or managed care experience preferred.
• Strong data organization and attention to detail.
• Proficiency with MS Word, Excel, and email tools.

Responsibilities

• Assist Credentialing Coordinator with reviewing files from CVO or in-house to verify completeness.
• Contact providers to obtain information required for credentialing.
• Create credentialing profiles and organize provider data.

Skills

Credentialing coordination

Provider data management

Auditing files

Communication

Education

High School diploma

Tools

MS Word

MS 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