Top 12 Credentialing coordinator Jobs in Bronx, Ny

Credentialing Coordinator
MetroPlus Health Plan —New York, NY
- $50,000 - $58,200 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Mid-level
- Office
14d
Credentials Coordinator
Hospital for Special Surgery —New York, NY
- $26.65 - $40.87 an hour
- Full-time
- Word processing
- Mid-level
- Bachelor's degree
- Work from home
Credentialing Coordinator
Network Temp Inc —Bronx, NY
- $30 - $35 an hour
- Contract
- Microsoft Outlook
- Mid-level
- Office
Quick Apply
Healthcare Credentialing Coordinator
SEEDS OF THE WILLISTONS INC —Williston Park, NY
- $20 - $40 an hour
- Part-time
- Mid-level
- Communication skills
- Health insurance
- Dental insurance
Quick Apply
Medical Staff Services Coordinator
Northwell Health —Great Neck, NY
- $55,070 - $85,720 a year
- Full-time
- Mid-level
- Experience equivalent to degree accepted
- 1 year
Credentialing Coordinator
CarePoint Health —Hoboken, NJ
- $22 - $30 an hour
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Surgery
- Paid holidays
- Dental insurance
12d
Credentials Coordinator
Montefiore Nyack Hospital —Nyack, NY
- From $28 an hour
- Full-time
- Hospital
- Customer service
- Medical office experience
12h
Medical Staff Coordinator
CarePoint Health —Hoboken, NJ
- $60,000 - $70,000 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Surgery
- Paid holidays
- Dental insurance
6d
MEDICAL STAFF COORDINATOR
Hudson Regional Hospital —Bayonne, NJ
- $55,000 - $65,000 a year
- Full-time
- Hospital
- HIPAA
- Mid-level
Quick Apply

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Provider Credentialing & Enrollment Specialist
PM Pediatrics Management Group —Lake Success, NY
Manage incoming emails and correspondence and confirm appropriate mail types and follow-up actions. Review and resolve enrollment with focus on state-specific…
$33 - $36 an hour
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1d
Credentialing Specialist
Ivy Rehab Network —White Plains, NY
Understanding of quality customer service and relationship with insurance carriers and field operators. Must have knowledge of health plans and other state…
$22 - $25 an hour
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Credentialing Coordinator
Orthopedic One —Westerville, OH
Performs other administrative tasks at the request of management as related to credentialing and board certification documentation.
Credentialing Coordinator, Lead
Orthopedic One —Westerville, OH
Performs other administrative tasks at the request of management as related to credentialing and board certification documentation.
2d

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Credentialing Coordinator

MetroPlus Health Plan -
New York, NY

Apply Now

Job Details

Full-time
$50,000 - $58,200 a year
14 days ago

Qualifications

Customer communication
Managed care
High school diploma or GED

Full Job Description

Job Ref: TE0174
Category: Professional
Department: CREDENTIALING
Location: 50 Water Street, 7th Floor, New York, NY 10004
Job Type: Regular
Employment Type: Full-Time
Work Arrangement: Hybrid
Salary Range: $50,000.00 - $58,200.00

Position Overview

MetroPlusHealth is seeking an individual to join our Credentialing Department in the capacity of Credentialing Coordinator. This position is responsible for credentialing of new providers including Behavioral Health providers & facilities, re-credentialing, and processing provider demographic updates and changes. The Credentialing Coordinator is responsible for document collection, review, verification, and provider credentialing file maintenance. This position also ensures that all credentialing supporting documentation is confidential and maintained in a secure environment. Lastly, the Credentialing Coordinator assists facilities and providers in understanding and adhering to MetroPlusHealth’s policies and procedures regarding the credentialing process/provider information update.
Scope of Role & Responsibilities

Maintain communication with the credentialing contacts at facilities and provider sites to coordinate receipt of information required for credentialing, re-credentialing, and update of provider credentialing information
Review provider re-credentialing and credentialing file for completion and presentation to the Credentialing Committee.
Perform primary source verification on required elements and in accordance regulatory guidelines and MetroPlusHealth’s policies and procedures
Data entry and upkeep of provider information in the credentialing and other pertinent databases
Verify New York State OPMC, Medicare/Medicaid lists and other pertinent databases for any current sanctions, restrictions on licensure and/or limitations on the scope of practice on all credentialed providers in interim credentialing periods
Verify New York State license registration and DEA registration status for all credentialed providers in the interim credentialing periods
Generate and disseminate monthly provider credentialing updates to appropriate departments at MetroPlusHealth and participating facilities and provider groups
Review and respond to request for credentialing information/copies of credentialing files to appropriate departments within MetroPlusHealth
Generate and disseminate provider rosters to delegated facilities, contracted group practices etc.
Perform provider roster reconciliation
Create, copy, file, and maintain all relevant documentation into provider credentialing folder.
Maintain confidentiality of provider credentials by filing the credentialing folder in respective cabinets in the file rooms.
Perform annual delegated file audits and participate in pre-delegation and delegation site reviews
Respond to inquiries from other MetroPlusHealth departments relative to a provider’s credentialing status
Performs other related tasks as directed by the Deputy Chief Operating Officer or her designee, the Credentialing Director or Credentialing Team Lead.

Required Education, Training & Professional Experience

Highschool Degree required; Bachelor’s Degree preferred
3 years of previous experience with provider credentialing processes and procedures
Knowledge of CACTUS preferred
Must be able to handle multiple projects simultaneously.
Comprehensive knowledge of managed care with a specific emphasis on physician credentialing.
Ability to meet time-sensitive deadlines and multi-task in a changing healthcare environment.
Understanding of credentialing activities as they relate to initial credentialing, re-credentialing, and credentials modification(s).

Professional Competencies

Integrity and Trust
Customer Focus
Proficient in Microsoft Office (Word, Excel, Access)
Excellent communication (both verbal and written) and organizational skills

#LI-Hybrid

#MHP50

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Refine Your Search

credentialing coordinator jobs in bronx, ny

Credentialing Coordinator

Credentials Coordinator

Credentialing Coordinator

Healthcare Credentialing Coordinator

Medical Staff Services Coordinator

Credentialing Coordinator

Credentials Coordinator

Medical Staff Coordinator

MEDICAL STAFF COORDINATOR

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