Credentialing Admin Support Associate - Flexstaff (temp)

Credentialing Specialist

Assures the credentialing of healthcare providers is conducted in accordance with organizational policies, operational procedures, and applicable governmental and regulatory agency regulations and standards. Performs activities associated with verification, tracking inquiries, and follow-up on problems which may delay completion of the file.

Job Responsibilities:

• Obtains source verification of credentials in accordance with prevailing policies and procedures.
• Tracks responses and follows-up on items not received within established cycle periods.
• Reviews completed files with management in accordance with established schedules.
• Maintains credential records.
• Produces management reports regarding operations performance and/or provider credentialing status for internal management and external providers using the health system's verification services.
• Adheres to operating policies and procedures including delivery of completed work and use of resources.
• Initiates correspondence to providers, users, health plans and others as necessary to obtain requisite credentialing information.
• Informs management regarding the status of departmental operations and provider credentialing issues of concern.
• Performs related duties as required.

All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.

Qualifications:

• High School Diploma or equivalent required.
• 1-3 years of relevant experience, required.
• Must have experience working with physician credentialing.

The salary range for this position is $35-$40/hour. It is Northwell Health's policy to provide equal employment opportunity and treat all applicants and employees equally regardless of age, race, creed/religion, color, national origin, immigration status or citizenship status, military or veteran status, sexual orientation, sex/gender, gender identity, gender expression, height, weight, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, their or their dependent's sexual or other reproductive health decisions, or other characteristics protected by applicable law.