Credentialing Specialist

Magnit Global; New York (NY); On-site; USD 60,000 - 80,000; Full time

Job summary

A healthcare staffing company is seeking a Credentialing Specialist responsible for managing provider credentialing processes, including appointments, reappointments, and compliance with regulatory standards. The role requires expertise in using MDStaff credentialing software and ensuring accuracy in provider records. Ideal candidates should have experience in the healthcare sector and an understanding of credentialing standards. This position is on-site in New York, requiring meticulous attention to detail and a commitment to maintaining compliance.

Qualifications

• Must have experience as a Credentialing Specialist within healthcare.
• Familiarity with credentialing standards and maintaining compliance.

Responsibilities

• Facilitates all aspects of provider credentialing, including initial appointment and reappointment.
• Completes primary source verification for new and existing providers.
• Maintains assigned physician files and ensures accuracy.
• Provides credentialing back-up for other members of the credentialing group.

Skills

Experience as a Credentialing Specialist

Knowledge of regulatory compliance

Tools

MDStaff credentialing software

Job description

Location: Open to all facilities (manhattan, bronx, brooklyn, queens) EXCEPT Central Office

Shift Time: 9:00 AM-5:00 PM

Duties:

The Credentialing Specialist is responsible for facilitating all aspects of provider credentialing, including initial appointment, reappointment, credential audits, as well as clinical privileging for Medical Staff, Allied Health Professionals, and all other providers as outlined in the corporate policy and procedures, or hospital bylaws. Utilize MDStaff credentialing software application to perform and monitor all credentialing/background checks, while maintaining accuracy and data integrity. Responsible for interpretation and compliance with the appropriate accrediting and regulatory agencies, while developing and maintaining a working knowledge of the statutes and laws relating to credentialing. This is not a remote job and all work is performed on site.

Credentialing:

• License Renewals: Ensures that physician licenses are renewed prior to expiration.
• Primary Source Verification: Completes primary source verification for new and existing providers to ensure due diligence.
• Records Management: Maintains assigned physician files, updating each item/action as processed.
• Utilizes database status/alert and other report functions, software tools and links to scanned documentation.
• Ensures that information is current and accurate.
• Credentialing Standards: maintains consistency in database entry to ensure accurate and consistent processes.
• Back-up Coverage: provide credentialing back-up for other members of the credentialing group

Required:

Must have experience as a Credentialing Specialist within healthcare - credentialing Providers to be considered qualified