Credentialing Coordinator

Integrated Resources Inc.; Town of Florida (NY); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Referral bonus for successful candidate referrals

Job summary

A premier staffing firm is seeking a Credentialing Coordinator in New York. This role involves processing and completing the credentialing functions for providers and requires strong communication and organizational skills. Candidates with a degree and some experience in credentialing or related fields are encouraged to apply. A referral bonus is offered for successful candidate referrals.

Qualifications

• 0-4 years of related credentialing experience based on education.
• Strong verbal and written communication skills are essential.
• Ability to work effectively in a metrics-driven environment.
• Bachelor’s Degree with 0-1 years of experience.
• Proficiency in Microsoft Office.
• Strong verbal and written communication skills.
• Strong organizational skills.
• Ability to perform in a metrics-driven environment.

Responsibilities

• Process and complete credentialing functions for all providers.
• Conduct primary source verification for applications.
• Monitor site visit progress by the provider network team.
• Enter critical data elements of provider applications into Credentialing system.
• Respond to phone inquiries from internal and external clients.
• Complete projects as assigned.

Skills

Provider credentialing experience

Communication skills

Organizational skills

PC applications knowledge

Organizational skills

Education

High School/GED

Associate's Degree

Bachelor's Degree

Tools

Microsoft Office

Job description

Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.

Job Description

The Credentialing Coordinator is responsible for processing and completing the credentialing and recredentialing functions of all providers in accordance with NCQA, state, and federal requirements.

Principal Accountabilities

• Validates completeness of provider applications prior to processing.
• Conducts primary source verification for all credentialing and recredentialing applications.
• Monitors the progress and completion of all site visits by the provider network team to ensure completion within established timeframe.
• Accurately enters all critical data elements of provider applications into Credentialing system.
• Responds to phone inquiries received into the Credentialing phone queue from internal and external clients.
• Completes projects as assigned.

Requirements

• 0-4 years of prior provider credentialing experience based on a combination of education and experience.
• High School/GED with 4 years of experience.
• Associate’s Degree with 1-2 years of experience.
• Bachelor’s Degree with 0-1 years of experience.
• Intermediate knowledge of PC applications, including Microsoft Office.
• Strong verbal and written communication skills.
• Strong organizational skills required.
• Ability to perform in a metrics-driven environment.

We offer a referral bonus for successful candidate referrals from your network of friends and colleagues in the industry.