Medical Staff Coordinator and Credentialing Specialist

Medical Staff Coordinator and Credentialing Specialist - Upstate New York - Permanent and Full-Time Hire - CLICK AND APPLY NOW!

The Medical Staff Credentialing Specialist and Coordinator assists the Medical Director, Hospital Administration, and the Medical Staff Team by coordinating the activities of the organized medical staff. This includes all aspects of the services provided including accreditation compliance, credentials verification, medical staff committee support, and maintenance of medical staff policies, procedures and by law development.

• Full Time, non-exempt position
• Monday – Friday
• No weekends
• No Holidays
• Benefits package including vacation and sick time, health, dental and vision as well as a pension and retirement plan
• Pay $28-35/hourly
• In-person position

Duties and Responsibilities:

• Compiles and maintains current and accurate data for all providers.
• Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers.
• Maintains corporate provider contract files.
• Maintains knowledge of current health plan and agency requirements for credentialing providers.
• Sets up and maintains provider information in online credentialing databases and system.
• Tracks license and certification expirations for all providers to ensure timely renewals.
• Ensures practice addresses are current with health plans, agencies and other entities.
• Audits health plan directories for current and accurate provider information.
• Completes credentialing/re-credentialing application packets for hospital, insurance carriers and government programs. Applies for NPI numbers for new providers, provides NPI numbers to physician offices on.
• Plus More!

Requirements and Qualifications:

• Associates Degree or Certified Provider Credentialing Specialist (CPCS).
• A minimum of 2-3 Years Credentialing experience is preferred.
• Excellent verbal and written communication skills, ability to relate well with people of diverse backgrounds, training and experience.
• Proficiency with medical practice software programs, Familiarity with credentialing requirements of hospitals and insurance carriers.
• Understanding of Malpractice insurance coverages and policies.
• Knowledge and understanding of credentialing process.
• Ability to organize and prioritize work and manage multiply priorities.
• Ability to research and analyze data.
• Ability to work independently with minimal supervision.
• Ability to establish and maintain effective working relationships with providers, management, staff and external contacts.
• Proficient use of Microsoft Office, Work, Excel and Access

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