Credentialing Specialist (Healthcare Field) 25-33297
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Job Location:
New York City, NY - USA
Monthly Salary:
Not Disclosed
Posted on:
15 hours ago
Vacancies:
1 Vacancy
Job Summary
Job Title: Credentialing Specialist (Healthcare Field)
Location: New York NY
Schedule: Monday Friday 9:00 AM 5:00 PM
Employment Type: Contract (W2)
Pay Rate: $27/hour
Position Overview
The Credentialing Specialist is responsible for managing all aspects of provider credentialing and re-credentialing in a healthcare environment. This role ensures compliance with regulatory accreditation and organizational requirements while maintaining accurate and up-to-date provider records.
Key Responsibilities
Credentialing & Provider Management
Facilitate all aspects of provider credentialing including:
Initial appointments
Reappointments
Credential audits
Clinical privileging
Support credentialing for Medical Staff Allied Health Professionals and other providers in accordance with corporate policies and medical staff bylaws
Provide credentialing back-up coverage for other team members as needed
License & Compliance Management
Ensure physician and provider licenses are renewed prior to expiration
Conduct Primary Source Verification (PSV) for new and existing providers
Interpret and comply with applicable accrediting and regulatory agency requirements
Maintain working knowledge of credentialing-related statutes and regulations
Systems & Records Management
Utilize MDStaff credentialing software to perform and monitor:
Credentialing checks
Background verifications
Privileging documentation
Maintain accurate provider files and records ensuring all information is current
Use database alerts reports and scanned documentation tools to track credentialing status
Ensure consistency and accuracy in database entries to support standardized credentialing processes
Required Qualifications
Bachelors Degree Required
Healthcare field experience Required
Proven experience in provider credentialing and re-credentialing
Strong attention to detail and audit skills
Familiarity with credentialing software systems (MDStaff preferred)
Ability to manage multiple credentialing files and deadlines simultaneously
Strong understanding of regulatory and accreditation standards related to credentialing
Skills
Credentialing & Re-Credentialing
Primary Source Verification (PSV)
License Renewal Tracking
Compliance & Regulatory Review
Records Management
Audit & Quality Control
Credentialing Software (MDStaff preferred)
For more details reach at or Call / Text at .
Required Experience:
IC
Key Skills
- Revenue Cycle Management
- HIPAA
- Healthcare Management
- PMBOK
- Microsoft Outlook
- Project Leadership
- Data Management
- Project Management
- Affiliate Marketing
- Project Management Software
- Supervising Experience
- Workday
