Job Description

Job Title: Credentialing Coordinator

Location New York 10004

Shift: 9 am to 5 pm

Contract: 2-month assignment with possible extension

Duties & Responsibilities:

Credentialing Coordinator will support provider credentialing activities, including document collection, verification, data entry, and provider file maintenance. The role also involves ensuring confidentiality and assisting facilities/providers in adhering to credentialing policies and procedures.

Key Responsibilities:

1. Coordinate with credentialing contacts at facilities and provider sites
2. Review credentialing files and prepare them for the Credentialing Committee
3. Perform primary source verifications in accordance with MetroPlus policies
4. Maintain accurate provider records in the credentialing database
5. Verify New York State OPMC and Medicare/Medicaid sanctions or restrictions
6. Share monthly credentialing updates with internal teams and providers
7. Maintain all credentialing documentation in provider folders
8. Conduct annual delegated file audits and participate in site reviews
9. Respond to internal credentialing inquiries
10. Support tasks assigned by the Director of Provider Services and Credentialing Manager

Skills & Qualifications:

• Excellent communication and organizational skills
• Experience with provider credentialing processes
• Familiarity with NYCHHC credentialing policies (preferred)
• Strong MS Office skills
• Knowledge of CACTUS software (preferred)

Education Requirements:

• High School Diploma or equivalent (required)
• Bachelor’s Degree (preferred)

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Please let me know if you're interested or have any questions. Looking forward to hearing from you! Email your Resumes to vrunda.sutaria@pride-health.com or call on (917)-444-3132.

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