Hunterdon Healthcare Partners, 114 Broad Street, Flemington, NJ

Full-time

On-site (REMOTE WORK NOT AVAILABLE)

40 hours per week, Mon-Fri, Day shift

Req # 74187

Under the leadership of the Administrative Director of Operations and the Credentialing Manager this individual is responsible for providing support to Hunterdon HealthCare Partners’ Credentialing Department.

Primary Responsibilities:

Maintains MSOW for state licenses, board certificates, malpractice coverage, and other required credentialing documents to ensure timely renewals.

Ensures accurate and timely verification of provider credentials, including state licenses, board certificates, malpractice coverage, and other required credentialing documents.

Regularly conducts expired credential audits of the database and other related files to ensure current and accurate data.

Correspond with providers and practice managers to resolve document renewal issues.

Maintains confidentiality of provider files.

Assists the Credentialing Manager and other Specialists with clerical functions related to the credentialing and recredentialing of initial and reappointment applications to Hunterdon HealthCare Partners.

Assists with processing credentialing, and recredentialing verifications.

Assists with coordinating, monitoring, and maintaining credentialing for commercial insurance companies.

Complies with all credentialing standards for processing commercial insurance applications.

Coordinates, monitors, and maintains all demographic changes and terminations; ensuring complete information and accurate and timely updating of healthcare professional files.

Assists with input and maintenance of provider MSOW database to provide timely access to accurate provider information.

Completes other duties as assigned.

Required Skills

• Ability to prioritize and organize work in a fast-paced environment and manage workload to meet the needs of the department.
• Ability to research and analyze various types of information.
• Ability to use independent judgment to manage and impart confidential information.
• Excellent verbal and written communication skills including emails, letters, and memos.
• Intermediate typing and computer skills.
• Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization.
• Proficient use of Google and Microsoft Office applications (Word, Excel) and Internet resources.
• Prefer knowledge and understanding of the credentialing process.
• Prefer knowledge and familiarity with NCQA credentialing terminology and requirements.

Education:

Required:

• High School Diploma required.

Preferred:

• Associates Degree preferred.
• CPCS Certification preferred.

Work Experience:

• Minimum of 2 years’ experience in a physician practice or hospital setting.

Preferred:

• 1 year experience performing credentialing functions.

Job Type: Full-time

Pay: $41,601.00 - $44,800.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

COVID-19 considerations:
Hunterdon HealthCare Partners follows NJ COVID executive orders regarding vaccination and masking for healthcare workers.

Ability to commute/relocate:

• Flemington, NJ 08822: Reliably commute or planning to relocate before starting work (Required)

Work Location: One location