What are the responsibilities and job description for the Credentialing Coordinator position at Pride Global?
Actively hiring Credentialing Coordinator for Hospital based in Metroplus Health Plan, NY NY, Title: Credentialing Coordinator Location: Metroplus Health Plan, NY NY Shift: All shifts available (5 days a week) and Guaranteed hours per week: 40
Contract duration: 3 months with height possibility of extension to 6 months.
Need Credentialing Coordinator for Hospital based in Metroplus Health Plan, NY NY. and pay rate is $36/hr.
Required:
Skills:
Excellent communication and organizational skills * Previous experience with provider credentialing processes and procedures * Knowledge of NYCHHC credentialing policies and procedures preferred * Good computer skills and able to work with MS Office * Knowledge of CACTUS preferred
1. Maintain communication with the credentialing contacts at facilities and provider sites to coordinate receipt of information required for credentialing, re-credentialing, and update of provider credentialing information 2. Review provider-credentialing file for completion and presentation to the Credentialing Committee 3. Perform primary source verification on required elements and in accordance with MetroPlus’ policies and procedures 4. Data entry and upkeep of provider information in the credentialing database 5. Verify New York State OPMC and Medicare/Medicaid for any current sanctions, restrictions on licensure and/or limitations on the scope of practice on all credentialed providers in interim credentialing periods 6. Generate and disseminate monthly provider credentialing updates to appropriate departments at MetroPlus Health Plan and participating facilities and providers 7. Create, copy, file, and maintain all relevant documentation into provider credentialing folder 8. Perform annual delegated file audits and participate in pre-delegation and delegation site reviews.
#INDHealthNY
Job Type: Full-time
Pay: $30.00 - $36.00 per hour
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Experience:
- Microsoft Office: 1 year (Preferred)
- Medical Credentialing Occupations: 1 year (Preferred)
- Microsoft Word: 1 year (Preferred)
Work Location: One location
