Provider Credentialing Specialist - Elevate Enrollment

Chris Baily; New York (NY); On-site; USD 60,000 - 85,000; Full time

Job summary

Chris Baily in Bronx, NY seeks a Medical Credentialing Specialist for a contract-to-hire role. 3+ years of credentialing experience is required; Certified Provider Credentialing Specialist is preferred.

The role coordinates credentialing activities to ensure provider participation with the Organization and compliance with credentialing standards. The candidate will handle sensitive staff information and prepare Credentialing Committee documents for review.

Qualifications

• 3+ years of credentialing experience.
• Provider Credentialing required; healthplan setting preferred.
• Associates/Bachelors Degree or equivalent work experience.

Responsibilities

• Coordinate provider credentialing process to meet deadlines.
• Research and resolve credentialing delays with enrollment promptly.
• Manage confidential information for physicians and nurse practitioners.
• Ensure demographics are reviewed and updated accurately.
• Maintain logs and current documentation for credentialing.
• Prepare documents for Credentialing Committee review.
• Provide productivity and issue reports for management.
• Stay updated on policies affecting credentials and enrollment.
• Perform additional assigned duties.

Skills

Credentialing

Organization

Multitasking

Communication

Written Communication

Microsoft Office

Excel

Time Management

Problem Solving

Education

Associates/Bachelor's Degree

Tools

Microsoft Office Suite

Excel

Outlook

Word

Job description

Chris Baily in Bronx, NY seeks a Medical Credentialing Specialist for a contract-to-hire role. 3+ years of credentialing experience is required; Certified Provider Credentialing Specialist is preferred.

The role coordinates credentialing activities to ensure provider participation with the Organization and compliance with credentialing standards. The candidate will handle sensitive staff information and prepare Credentialing Committee documents for review.