What are the responsibilities and job description for the Credentialing Specialist position at Column Technical Services?
Column Technical Services is seeking a detail-oriented Credentialing Specialist, ideally with experience in hospital credentialing, to support MSO coordinators within a dynamic team at one of New York City's most esteemed healthcare organizations. Join us to explore this exciting opportunity!
This role offers a hybrid work arrangement, requiring candidates to reside in New York, NY, or New Jersey, with an expectation to be on-site once a month.
This role offers a hybrid work arrangement, requiring candidates to reside in New York, NY, or New Jersey, with an expectation to be on-site once a month.
- Must have health care/physician provider credentialing experience*
- Perform data entry and review of credentialing files; upload files to the database, ensuring completeness and accuracy.
- Compile and maintain up-to-date and accurate data for all providers.
- Handle provider credentialing, applications, and reappointments; monitor and follow up on applications as necessary.
- Maintain copies of current state licenses, DEA certificates, malpractice coverage, and other required credentialing documents for all providers.
- Ensure credentialing processes comply with NCQA standards.
- Verify data accuracy and validity through thorough review and evaluation.
- Understand the requirements and processes for maintaining, updating, and activating healthcare providers' licenses.
- Navigate web-based software applications, upload/download files, access shared drives, use Outlook and Microsoft applications, and participate in Webex, Zoom and other virtual applications.
- Update portfolios by uploading PDF files into the credentialing software.
- Create Excel spreadsheets for data organization and reporting.
- Initially shadow a current analyst to learn job processes and procedures.
- Work independently with a positive, professional demeanor to establish and maintain effective working relationships with staff.
- Preferred: Minimum of 3 years of experience in hospital credentialing.
- Strong verbal, written, and customer service communication skills.
- Exceptional organizational skills and meticulous attention to detail for reviewing and analyzing complex documents.
- Must be a proactive team player, tech-savvy, capable of working independently, and self-motivated.
- Proficient in Excel, MS Outlook, Internet research, shared drives, and PDF file formatting/uploading, and capable of navigating with virtual meetings software.
- Experience with credentialing software.
- Familiarity with CVs, PDF images, and license verification documents.
- Completed vaccination required upon hire.