Credentialing specialist

Grounded by a compelling mission, core values, and compassion for people, CDPHP and its family of companies offer a strong foundation for a rewarding career.

Established in 1984, CDPHP is a physician-founded, member-focused, and community-based not-for-profit health plan that offers high-quality affordable health insurance to members throughout New York.

The company values people, quality, innovation, and community, and its corporate culture supports those values wholeheartedly.

CDPHP is committed to fostering a culture of belonging and takes a wholistic approach to diversity, equity, and inclusion.

At CDPHP, the employees have a voice and are encouraged to make an impact at both the company and community levels through engagement and volunteer opportunities.

CDPHP invests in employees who share these values and invites you to be a part of that experience.

CDPHP and its family of companies include subsidiaries Strategic Solutions Management Consultants (SSMC), Practice Support Services (PSS), and ConnectRX Services, LLC.

Strategic Solutions Management Consultants (SSMC) is a full-service medical billing and practice management firm offering a comprehensive, sophisticated approach to private practice physicians, and physician and hospital networks.

Strategic Solutions is located in Clifton Park, NY area, local and remote candidates are encouraged to apply!

The Credentialing Specialist is responsible for ensuring licensed practitioners are credentialed as needed with Medicare, Medicaid and commercial insurance companies for Professional Services.

QUALIFICATIONS :

• Minimum one (1) year of insurance enrollment / credentialing experience strongly preferred.
• Knowledge and experience with CAQH preferred.
• Experience with Microsoft Office, including Outlook, Word and Excel required.
• Experience with web-based data bases preferred.
• Must be detail-oriented with strong organizational skills.
• Demonstrated ability to pro-actively identify problems, as well as recommend and / or implement effective solutions.
• Ability to work independently and as part of a team.
• Demonstrated ability to provide excellent customer service and develop relationships both internally and externally.
• Demonstrated ability to work with and maintain confidential information.
• Excellent verbal and written communication skills.
• Flexibility to adapt to a changing and fast-paced environment.
• High School Diploma or GED required.

Salary ranges are designed to be competitive with room for professional and financial growth. Individual compensation is based on several factors unique to each candidate, such as work experience, qualifications, and skills.

Some roles may also be eligible for overtime pay.

As an Equal Opportunity / Affirmative Action Employer, CDPHP will not discriminate in its employment practices on the basis of race, color, creed, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, transgender status, age, national origin, marital status, citizenship, disability, criminal record, genetic information, predisposition or carrier status, status with respect to receiving public assistance, domestic violence victim status, protected veterans status, or any other characteristics protected under applicable law.

To that end, all qualified applicants will receive consideration for employment without regard to any such protected status.

Last updated : 2024-05-13