Credentialing Specialist - Contract/Temp - Hybrid schedule - Bronx

RSC Healthcare Staffing; New York (NY); On-site; USD 60,000 - 72,000; Full time

Job summary

RSC Healthcare is seeking a Credentialing Specialist to coordinate provider credentialing activities and ensure compliance with credentialing standards.

The role requires 2+ years of credentialing experience in a healthcare organization, strong data entry and Microsoft Office skills, and excellent organizational abilities. The position focuses on maintaining accurate credentialing records and facilitating efficient enrollment processes.

Qualifications

• Provider credentialing experience is required.
• 2+ years credentialing experience in a healthcare organization is required.
• Microsoft Office proficiency (Excel, Outlook, Word, etc.).
• Highly organized with strong time management and multitasking skills.
• Strong communication and problem-solving abilities.

Responsibilities

• Coordinate provider credentialing processes to increase efficiency and meet deadlines.
• Research and resolve credentialing delays and enrollment issues promptly.
• Manage confidential information for physicians and nurse practitioners.
• Review and verify demographic updates for processing.
• Maintain accurate databases, logs, and current documentation.
• Prepare documents for Credentialing Committee review.
• Outreach to providers for information verification and portal access.
• Provide productivity and issue reports for Management.
• Stay current on policies affecting credentialing and enrollment.

Skills

Credentialing experience

Data entry

Microsoft Office

Organized

Multitask

Communication

Education

Associate's/Bachelor’s Degree or equivalent

HS Diploma / GED

Tools

Microsoft Office Suite

Job description

Job Description

Job description:

MUST have CREDENTIALING experience - required!

Very strong data entry and technical skills - a plus!

Coordinate all credentialing activities to ensure provider participation with Healthcare organization. Ensure provider compliance with credentialing standards.

JOB RESPONSIBILITIES:

• Coordinate provider credentialing process to increase efficiency and ensure that credentialing deadlines are met.
• Research and solve credentialing/re-credentialing delays & issues with enrollment in a timely manner.
• Manage confidential information of internal staff (Physicians, Nurse Practitioners).
• Ensure demographic updates are reviewed and verified for processing.
• Ensure the database is kept accurate and updated.
• Maintain necessary logs, lists, records, and current documentation required for physician/provider credentialing and re-credentialing to ensure requirements are met in a timely manner.
• Prepare documents for Credentialing Committee review.
• Outreach to provider for information verification and miscellaneous inquiries, i.e. provider portal access, nursing home documentation, medical records retrieval, etc.
• Provide productivity and issues reports for Management.
• Remain current on policies affecting provider credentials and enrollment processes.

Education:

Associates/Bachelor’s Degree, and/or equivalent work experience- preferred

HS Diploma / GED required

• REQUIRED: Provider Credentialing
• A minimum of 2+ years of credentialing experience from healthcare organization, not insurance claims company
• Preferred: Credentialing in a Healthplan setting.
• Microsoft Office/Suite Proficient (Excel, Outlook, Word, etc.)-
• Highly Organized.
• Able to multitask efficiently and effectively.
• Solid problem solving and time management skills.
• Have the ability to review and draft correspondence in email and word processing systems.
• Professional, Friendly, and Skillful Communication Skill Set

Company Description

About RSC Healthcare

Launched in 2018, RSC Healthcare is an RSC Solutions company created to focus on recruiting and staffing across all positions in the healthcare industry. Our knowledgeable staff brings multiple decades of experience within the healthcare industry to assist clients in attaining the highest quality talent in the marketplace.

By leveraging RSC Healthcare’s extensive database and experienced recruiting team for candidate healthcare positions, our clients realize both substantial cost-savings and a streamlined, efficient process. We provide staffing for all levels and positions across your organization, including:

Registered Nurses

Physical/Occupational Therapists

Certified Nursing Assistants

Radiology Technicians

All skilled medical and allied health professionals

As a leader in the healthcare staffing industry, it is our goal is to connect patients with quality caregivers. Our experienced team and industry knowledge allow RSC Healthcare to deliver the qualified healthcare professionals our clients need.