Credentialing Coordinator Job at Info-jini
Job Title - Credentialing Coordinator
Location - New York, NY
Duration - 3+ Months
Key Responsibilities:
1. Maintain communication with the credentialing contacts at facilities and provider sites to coordinate receipt of information required for credentialing, re-credentialing, and update of provider credentialing information
2. Review provider-credentialing file for completion and presentation to the Credentialing Committee
3. Perform primary source verification on required elements and in accordance with MetroPlus’ policies and procedures
4. Data entry and upkeep of provider information in the credentialing database 5. Verify New York State OPMC and Medicare/Medicaid for any current sanctions, restrictions on licensure and/or limitations on the scope of practice on all credentialed providers in interim credentialing periods
6. Generate and disseminate monthly provider credentialing updates to appropriate departments at MetroPlus Health Plan and participating facilities and providers
7. Create, copy, file, and maintain all relevant documentation into provider credentialing folder
8. Perform annual delegated file audits and participate in pre-delegation and delegation site reviews
9. Respond to inquiries from other MetroPlus departments relative to a provider’s credentialing status
10. Performs other related tasks as directed by the Director of Provider Services and the Credentialing Manager
Education: High School diploma or High School equivalency required Bachelor's Degree preferred
Job Type: Contract
Salary: $19.54 - $30.00 per hour
Ability to commute/relocate:
- New York, NY: Reliably commute or planning to relocate before starting work (Required)
Experience:
- Microsoft Office: 1 year (Preferred)
- Microsoft Word: 1 year (Preferred)
Work Location: One location
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