Credentialing Specialist Job New York City area,New York USA,Healthcare

Column Technical Services is seeking a detail-oriented Credentialing Specialist, ideally with experience in hospital credentialing, to support MSO coordinators within a dynamic team at one of New York City's most esteemed healthcare organizations. Join us to explore this exciting opportunity!

This role offers a hybrid work arrangement, requiring candidates to reside in New York, NY, or New Jersey, with an expectation to be on-site once a month.

* Must have health care/physician provider credentialing experience*

Key Responsibilities:

Perform data entry and review of credentialing files; upload files to the database, ensuring completeness and accuracy.
Compile and maintain up-to-date and accurate data for all providers.
Handle provider credentialing, applications, and reappointments; monitor and follow up on applications as necessary.
Maintain copies of current state licenses, DEA certificates, malpractice coverage, and other required credentialing documents for all providers.
Ensure credentialing processes comply with NCQA standards.
Verify data accuracy and validity through thorough review and evaluation.
Understand the requirements and processes for maintaining, updating, and activating healthcare providers' licenses.
Navigate web-based software applications, upload/download files, access shared drives, use Outlook and Microsoft applications, and participate in Webex, Zoom and other virtual applications.
Update portfolios by uploading PDF files into the credentialing software.
Create Excel spreadsheets for data organization and reporting.
Initially shadow a current analyst to learn job processes and procedures.
Work independently with a positive, professional demeanor to establish and maintain effective working relationships with staff.

Job Requirements

Required Skills:

Preferred:
Minimum of 3+ years of experience in hospital credentialing.
Strong verbal, written, and customer service communication skills.
Exceptional organizational skills and meticulous attention to detail for reviewing and analyzing complex documents.
Must be a proactive team player, tech-savvy, capable of working independently, and self-motivated.
Proficient in Excel, MS Outlook, Internet research, shared drives, and PDF file formatting/uploading, and capable of navigating with virtual meetings software.
Experience with credentialing software.
Familiarity with CVs, PDF images, and license verification documents.
Completed vaccination required upon hire.


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