Healthcare Credentialing Specialist | Payer Enrollment

LE002 Amboy Medical Practice, P.C.; New York (NY); Vor Ort; USD 60.000 - 65.000; Vollzeit

Zusammenfassung

Richmond University Medical Center in New York, NY is seeking a Credentialing Coordinator to manage practitioner applications, verify documentation, ensure eligibility and payer enrollment compliance, and coordinate onboarding timelines with internal teams.

The role requires a high school diploma or GED, 1+ year in credentialing or payer enrollment, strong communication and customer service, and proficiency with MS Office and Symplr software; you will handle high-volume workloads with

Qualifikationen

• Proven experience in healthcare credentialing and payer enrollment.
• Experience in physician billing or third-party payer environments.
• Strong communication and organizational skills with confidentiality.

Aufgaben

• Coordinate and monitor review and analysis of practitioner applications for eligibility and compliance.
• Conduct background investigations and primary source verification for credentialing/payer enrollment files.
• Identify discrepancies and follow up to resolve issues efficiently.
• Prepare, track, and secure practitioner signatures to avoid onboarding delays.
• Utilize Symplr to retrieve credentialing documents in accordance with regulations.
• Collaborate with hospital administration to ensure smooth information exchange during onboarding/offboarding.
• Perform miscellaneous duties and special projects as assigned.

Kenntnisse

Credentialing experience

Payer enrollment experience

Communication skills

Organization & time management

Customer service

Confidentiality

MS Office proficiency

Symplr credentialing software

Data entry

Ausbildung

High school diploma or GED

Tools

Symplr credentialing software

MS Office Suite

Jobbeschreibung

Richmond University Medical Center in New York, NY is seeking a Credentialing Coordinator to manage practitioner applications, verify documentation, ensure eligibility and payer enrollment compliance, and coordinate onboarding timelines with internal teams.

The role requires a high school diploma or GED, 1+ year in credentialing or payer enrollment, strong communication and customer service, and proficiency with MS Office and Symplr software; you will handle high-volume workloads with