Job Description
Job Role: Credentialing Specialist
Location – Manhattan NY 10004
Shift - 9:00 am to 5:00 PM
Rate - $22 to $24 per hour
3 Months (Contract) with possible extension
Responsibility:
The Credentialing Specialist is responsible for facilitating all aspects of provider credentialing, including initial appointment, reappointment, credential audits, as well as clinical privileging for Medical Staff, Allied Health Professionals, and all other providers as outlined in the corporate policy and procedures, or hospital bylaws. Utilize MDStaff credentialing software application to perform and monitor all credentialing/background checks, while maintaining accuracy and data integrity. Responsible for interpretation and compliance with the appropriate accrediting and regulatory agencies, while developing and maintaining a working knowledge of the statues and laws relating to credentialing.
BA Required
1-2yrs experience Experience in Credentialing- particularly with OPPE/FPPE process is strongly preferred MD Stat Preferred CPMSM or CPCS is preferred
The Quality Coordinator/Specialist is responsible for facilitating the Peer Review, Ongoing Professional Practice Evaluation (OPPE), and Focused Professional Practice Evaluation (FPPE) functions utilizing MD Stat Peer review software. Key role also include assigning performance cards and reviewers in MD Stat, as well as, analyzing, extracting and reporting on data.
Responsible for interpretation and compliance with the appropriate accrediting and regulatory agencies, while developing and maintaining a working knowledge of the statues and laws relating to credentialing.
Thanks & Regards,
Mohit Saini
Team Lead, EST
(971) 368-2341 Mohit.saini@pride-health.com
-saini-m-s-81648080/
Company DescriptionPride Global offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts.
Pride Global offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts.
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