Job Description

Actively hiring "Credentialing Specialist" at Summit , NJ for position at a Hospital. pay rate is $34-$35/hr.

Please find below details of the position.

Position: Credentialing Specialist

Location: Summit , NJ

Duration: 3+-month contract with Possibility of extension.

Shift: 8a- 4p

Pay - $34-$35/hr.

Job Requirement:

Skills

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 Metro Plus Health’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.

Education

High School diploma or High School equivalency required Bachelors Degree preferred

Benefits:

Pride Health offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, , legal support, auto ,home insurance, pet insurance, and employee discounts with preferred vendors.

Job Tags

Contract work, Interim role, Shift work,

Similar Jobs

Marriott International, Inc

Public Area Attendant Job at Marriott International, Inc

...delivering guest requests, stocking carts, cleaning rooms and public spaces, or other similar responsibilities, the Guest Environment... ...critical to success - ensuring a safe work place, following company policies and procedures, maintaining confidentiality, upholding quality...

Allied Universal®

Security Guard - Flexible Schedule Job at Allied Universal®

...must be available on weekends Requirements: *Active CA Guard Card *Security experience of 1 or more years *Intermediate... ...age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status...

AGS Cyber

Head of Public Sector Business Development Job at AGS Cyber

&##128680; Hiring: Head of Public Sector Business Development (Preferred locations: Washington DC, Maryland, Northern Virginia, Baltimore... ...for a driven leader to: Shape and execute public sector policy strategy at all levels of government Build relationships with...

Sodexo

Food Production Manager 2 Job at Sodexo

Role Overview: Sodexo is seeking a Food Production Manager 2 for Holy Family Hospital located in Metheun, MA . In this role you will operate as the Sous Chef and partner with the Executive Chef and supervise a team of 6 culinary professionals, and up to 30 food service...

Nevada State University

LOA Hourly - Standardized Patient/Participant Job at Nevada State University

...an open pool of qualified individuals to be selected on an as-needed basis by the department to fulfill part-time temporary standardized patient/participant needs. Applications are accepted on an ongoing basis. Nevada State University invites applications for the position...

Credentialing Specialist Job at Pride Health, Summit, NJ

WjR5a2IreUlLdjBaWmVQaHVFaXc3WWR5SkE9PQ==