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Credentialing Coordinator
Job in
Hauppauge, Suffolk County, New York, 11788, USA
Listed on 2026-03-04
Listing for:
Vitreoretinal Consultants
Full Time
position Listed on 2026-03-04
Job specializations:
-
Healthcare
Healthcare Administration, Medical Office
Job Description & How to Apply Below
JOB OVERVIEW:
We are looking for an organized and experienced candidate with credentialing experience to join our practice. The Credentialing Coordinator will be responsible for all aspects of the credentialing, re-credentialing and privileging processes for all medical providers within the practice. The ideal candidate will be well-versed in credentialing databases (such as CAQH) & medical insurance regulations. The Credentialing Coordinator will be responsible for maintaining confidentiality in handling personal information.
ESSENTIAL FUNCTIONS INCLUDE BUT ARE NOT LIMITED TO:
- Complete provider credentialing and re-credentialing applications; monitor applications and follows-up as needed.
- Process applications for appointment and reappointment of privileges to hospitals and surgery centers.
- Maintain copies of current state licenses, DEA certificates, malpractice coverage, insurance contracts and any other required credentialing documents for all providers.
- Maintain knowledge of current health plan and agency requirements for credentialing providers.
- Maintain provider information in online credentialing databases and systems (CAQH).
- Track license and certification expiration dates for all providers to ensure timely renewals.
- Ensure practice and provider information is accurate with health plans, agencies and other entities.
- Any other duties assigned by the Billing Manager &/or Compliance Officer & Senior Management
- High school diploma or equivalent.
- Two (2) years' previous experience in credentialing.
- Able to sit at a desk for extended periods of time.
- Able to multitask, prioritize, and manage time efficiently.
- Ability to work independently and collaboratively within a team environment.
- Excellent verbal and written communication skills.
- Proficient computer skills, Microsoft Office Suite (Word, PowerPoint, Outlook, and Excel);
- Strong customer service skills
- Able to analyze problems and strategize for better solutions.
- Positive and professional attitude.
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