What are the responsibilities and job description for the Credentialing Specialist position at Pride Health?
Position Overview
Title: Credentialing Specialist
Location: Summit, NJ 07901, and Hackettstown, NJ 07840
Schedule: 8:00 AM - 4:00 PM.
Duration: 13 weeks with a high possibility of extension
Pay Rate: $27 - $30/Hr W2
Job Description
The Credentialing Specialist ensures all healthcare providers meet regulatory, organizational, and accreditation standards. This role processes high-volume credentialing applications, verifies provider qualifications, and maintains accurate records in the Echo database.
Key Responsibilities
- Process and review 125–200 initial and reappointment applications quarterly.
- Verify education, training, licensure, certifications, malpractice history, and work experience.
- Maintain provider records in Echo; track license and certification expirations.
- Prepare credentialing files for Credentials Committee, MEC, and Board of Trustees meetings.
- Ensure compliance with federal/state regulations, bylaws, and standards such as TJC/NCQA.
- Coordinate with providers, medical staff offices, HR, and insurance networks.
- Maintain confidentiality and support medical staff meeting scheduling and minutes.
Skills & Qualifications
- Knowledge of credentialing processes and regulatory standards.
- Strong organizational, communication, and analytical skills.
- Ability to manage multiple priorities and work independently.
- Proficiency with Echo and general computer systems.
Salary : $27 - $30
