Credentialing Specialist
Credentialing Specialist
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Job Title: Credentialing Specialist
Location: Summit New Jersey
Rate: $35/hour (W2)
Shift: 8:00 AM 4:00 PM EST 37.5 hours/week
Duration: 3 Months (with potential extension)
The Credentialing Specialist is responsible for coordinating monitoring and maintaining the credentialing and re-credentialing process for physicians and allied health providers. This role ensures compliance with regulatory standards internal bylaws and all federal and state guidelines.
Key Responsibilities:-
Process initial and reappointment credentialing applications (approx. 125 200 per quarter).
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Collect and verify credentialing data including licensure education training and experience.
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Maintain and update provider records in the Echo credentialing database.
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Prepare credentialing files and reports for Credentials Committee MEC and Board of Trustees meetings.
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Enforce regulatory compliance and ensure adherence to medical staff bylaws.
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Schedule and when needed attend and take minutes for medical staff department meetings.
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Manage provider dues and maintain accurate financial tracking for medical staff memberships.
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Monitor license and certification expirations and follow up as needed.
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Maintain confidentiality and security of all provider information.
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Perform other administrative duties as assigned.
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Must have provider credentialing experience (not insurance credentialing).
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Strong understanding of credentialing processes and regulatory standards.
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Exceptional organizational and time management skills.
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Excellent written and verbal communication abilities.
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Ability to work independently and prioritize tasks effectively.
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Strong research analytical and problem-solving skills.
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Proficient computer skills especially in credentialing software (preferably Echo).
Employment Type
Full-time
