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Essen Medical Associates
Bronx, NY | Full Time
$46k-58k (estimate)
5 Days Ago
Cirrus Healthcare
Bronx, NY | Full Time
$47k-60k (estimate)
3 Months Ago
Credentialing Specialist
$47k-60k (estimate)
Full Time 3 Months Ago
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Cirrus Healthcare is Hiring a Credentialing Specialist Near Bronx, NY

At Essen Health Care, we care for that!

As the largest privately held multispecialty medical group in the Bronx, we provide high-quality, compassionate, and accessible medical care to some of the most vulnerable and under-served residents of New York State. Guided by a Population Health model of care, Essen has five integrated clinical divisions offering urgent care, primary care, and specialty services, as well as nursing home staffing and care management. Founded in 1999, our over 20-year commitment has fueled an unwavering dedication toward innovating a better healthcare delivery system. Essen has expanded from a single primary care office to an umbrella organization offering specialties from women’s health to endocrinology, from psychiatry to a vast array of other specialties. All clinical services are offered via telehealth or in-person at over 35 medical offices and at home through the Essen House Calls program.

Essen Health Care is the place Where Care Comes Together! We are looking for the most talented and effective individuals to join our rapidly growing company. With over 1,100 employees and 400 Practitioners, we care for over 250,000 patients annually in New York City and beyond. From medical providers to administration & operational staff, there is a career here for you. Join our team today!

Job Summary: The Credentialing Specialist is responsible to coordinate and assist with the day-to-day administrative functions of the Department. The selected candidate will have excellent written communication skills, able to multitask and manage time effectively and provide administrative support to the Delegation team within the Credentialing Department.

Responsibilities include:

  • Review credentialing application for completeness and log any missing documentation
  • Critically evaluate application for any issues that may require special consideration, or additional review, and take appropriate action to resolve issue
  • Perform primary source verification of credentials
  • Notify Supervisor and Associate Director of any red flags, in a timely manner
  • Coordinate with appropriate credentialing onboarding staff to obtain required information from provider
  • Prepare payment requests for required verification fees
  • Participate in the timely preparation of files for the monthly Credentialing Committee meetings, Delegated Credentialing audits, on site audits and desktop audits
  • Perform self-audits to ensure data integrity of provider files
  • Implement proper maintenance of files (digital and hard copies)
  • Complete other tasks or projects as assigned
  • Provide back-up to other Credentialing staff as necessary

Qualifications

  • Bachelor’s Degree in a Health-Related Discipline: Public Health, Healthcare Administrative, Health Service, Psychology or Sociology Highly Preferred
  • High School Diploma Required
  • Minimum of at least six months in a healthcare setting: providing clerical support or medical credentialing assistance. Preferably 1-2 years of relevant office / credentialing experience.
  • Superior interpersonal skills to effectively interact with various levels of group practice leadership, as well as health care providers.
  • Ability to communicate and process highly confidential information and exercise proper judgment and discretion in performing duties.
  • Exceptional organizational, analytical and written and verbal communication skills.
  • Proficient with MS Office (outlook, word, excel, power point, access)
  • Excellent time-management skills.
  • Knowledge of practitioner credentialing procedures and standards.
  • Working knowledge of clinical operations and procedures.
  • Informational research skills.

Essen Health Care * is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically-diverse population.*

Job Type: Full-time

Pay: $21.00 - $25.00 per hour

Expected hours: No less than 40 per week

Benefits:

  • 401(k)
  • Dental insurance
  • Flexible spending account
  • Health insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8 hour shift

Experience:

  • Credentialing: 1 year (Preferred)

Ability to Commute:

  • Bronx, NY (Preferred)

Work Location: In person

Job Summary

JOB TYPE

Full Time

SALARY

$47k-60k (estimate)

POST DATE

01/21/2024

EXPIRATION DATE

05/18/2024

Show more

Cirrus Healthcare
Full Time
$90k-113k (estimate)
3 Months Ago
Cirrus Healthcare
Full Time
$55k-68k (estimate)
3 Months Ago

The job skills required for Credentialing Specialist include Commitment, Health Care, Written Communication, Verbal Communication, Leadership, Time Management, etc. Having related job skills and expertise will give you an advantage when applying to be a Credentialing Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Credentialing Specialist. Select any job title you are interested in and start to search job requirements.

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The following is the career advancement route for Credentialing Specialist positions, which can be used as a reference in future career path planning. As a Credentialing Specialist, it can be promoted into senior positions as a Compliance Manager - Healthcare that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Credentialing Specialist. You can explore the career advancement for a Credentialing Specialist below and select your interested title to get hiring information.

If you are interested in becoming a Credentialing Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Credentialing Specialist for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Credentialing Specialist job description and responsibilities

A certified professional credentialing specialist ensures that staff members of a facility maintain licenses, training, and certifications based on federal and state law.

03/14/2022: Des Moines, IA

A credentialing specialist can have certificates that will prove useful to their field.

02/01/2022: Newark, NJ

Credentialing specialists also ensure that any services provided by medical facilities meet the required standards as set by state and federal government agencies.

02/21/2022: Evansville, IN

Credentialing specialists are part of an organization's administrative staff; they review medical policies, process contracts, and facilitate audit reports to validate that certified medical professionals comply with credentialing procedures.

02/01/2022: Las Cruces, NM

Credentialing specialists will also ensure that their employer meets state, federal and other regulations for quality of care.

01/18/2022: Pueblo, CO

Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Credentialing Specialist jobs

Credentialing specialists can often find work with a high school diploma or the equivalent.

01/25/2022: Kingsport, TN

Some employers strongly prefer credentialing specialists who have a Certified Provider Credentialing Specialist (CPCS) credential.

03/01/2022: Parkersburg, WV

While an associate degree may not be required for a position as a credentialing specialist, some employers may prefer applicants with a two-year degree.

12/25/2021: Little Rock, AR

Make Use Of Advanced Software For Monitoring.

01/18/2022: New London, CT

Stay Updated with the Coalition for Affordable Quality Healthcare's Credentialing Program.

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Step 3: View the best colleges and universities for Credentialing Specialist.

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