Credentialing Specialist

Richmond University Medical Center; New York (NY); On-site; USD 50,000 - 65,000; Full time

Job summary

Richmond University Medical Center is seeking a Credentialing Specialist to coordinate practitioner applications, verify credentials, and manage payer enrollment. This full-time on-site role requires meticulous attention to detail and strong communication.

You will use Symplr credentialing software, MS Office, and collaborate with healthcare teams to ensure timely onboarding and compliance. A high school diploma and 1 year of credentialing or payer experience are required.

Qualifications

• High school diploma or GED required.
• Proven experience in healthcare provider credentialing and payer enrollment.
• Minimum of 1 year experience in physician billing or third-party payer environment.
• Strong, practitioner-focused communication skills with ability to explain complex processes.
• Excellent organization, time management and customer service skills.
• Strict confidentiality with proprietary information and provider files.
• Proficient with data entry, MS Office and Symplr credentialing software.

Responsibilities

• Coordinate and monitor review and analysis of practitioner applications to ensure eligibility and compliance.
• Conduct background investigations and primary source verification of credentialing/payer enrollment files.
• Identify discrepancies and facilitate follow-ups to resolve issues efficiently.
• Prepare, track, and secure required practitioner signatures to avoid onboarding delays.
• Utilize Symplr to retrieve credentialing documents in line with regulatory acts.
• Collaborate with Richmond Health Network administration for seamless information exchange during onboarding/offboarding.
• Perform miscellaneous duties and special projects as assigned.

Skills

Credentialing

Payer enrollment

Communication

Time management

Customer service

Confidentiality

Attention to detail

Education

High school diploma or GED

Tools

Symplr credentialing software

MS Office Suite

Job description

It’s fun to work in a company where people truly BELIEVE in what they’re doing!

We’re committed to bringing passion and customer focus to the business.

Day Shift - 7.5 Hours (United States of America)

Job Responsibilities

• Coordinate and monitor the review and analysis of practitioner applications and supporting documentation to ensure eligibility and compliance.
• Conduct thorough background investigation, research and primary source verification of all components within credentialing/payer enrollment files.
• Identify credentialing and enrollment discrepancies that require additional investigation; facilitate appropriate follow-ups to resolve issues effectively.
• Prepare, track, and secure required practitioner signatures for enrollment files in a timely manner to avoid onboarding delays.
• Utilizes Symplr credentialing database to retrieve credentialing documents in accordance with the Health Care Quality Improvement Act.
• Collaborate with Richmond Health Network’s administration to ensure seamless information exchange during the practitioner on-boarding and off-boarding processes.
• Perform miscellaneous job-related duties and special projects as assigned.

Job Qualifications

• High school diploma or GED required.
• Proven experience in healthcare provider credentialing and payer enrollment.
• Minimum of 1 year of experience working within a physician billing or third-party payer environment.
• Strong, practitioner-focused communication skills with the ability to explain complex credentialing and enrollment processes clearly.
• Excellent organization, time management, and customer service skills.
• Absolute commitment to maintaining strict confidentiality regarding proprietary information and provider files.
• Proficient with data entry, MS Office Suite (Word, Excel, Outlook, PowerPoint), and Symplr credentialing software.
• Ability to thrive under tight deadlines and manage a high-volume workload efficiently.

If you like wild growth and working with happy, enthusiastic over-achievers, you’ll enjoy your career with us!