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.

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