CREDENTIALING SPECIALIST

FULL JOB DESCRIPTION

OVERVIEW:

Our company is undergoing a rapid growth phase and is ramping up hiring across all revenue cycle functional areas. Due to continuous expansion, we offer opportunities for professional growth to our employees. We make significant investments in the training and development of our employees, and we invite you to become a part of our high-performing team.

POSITION SUMMARY: CREDENTIALING SPECIALIST

AMS is currently seeking an experienced Credentialing Specialist to join the team in our Chappaqua, NY office. This professional will report directly to the Credentialing Manager. The Credentialing Specialist’s primary responsibility is to ensure that accurate data needed for physician onboarding and payor enrollment credentialing is obtained, processed, maintained and current for all assigned providers. This individual performs general tasks, clerical duties and special projects as assigned, in a timely and efficient manner to achieve departmental goals.

Schedule: Full-time, Monday – Friday

Location: Hybrid, 2 days onsite

PRINCIPAL DUTIES AND RESPONSIBILITIES

• Ensures that applications are properly verified and accurately uploaded into an online credentialing database
• Works jointly with Northwell Provider Enrollment Department
• Ensures the timely and accurate submission of credentialing information to assigned payers to establish and maintain participation
• Works weekly delinquency reports for missing or expiring credentials, including reappointments
• Works closely with providers and practice managers to obtain necessary credentialing documentation
• Communicates with revenue cycle management staff regarding status of providers as well as participation with assigned payers
• Maintains a high standard of professional conduct at all times

QUALIFICATIONS

• Minimum of 2 years Credentialing experience preferred
• Must be COVID 19 vaccinated

CORE COMPETENCIES

• Strong organizational skills and attention to detail
• Proper phone etiquette and communication skills, both verbal and written
• Ability to multitask and work independently to meet strict deadlines
• Computer proficiency, including MS Office, and ability to work with multiple databases
• Strong interpersonal skills
• Problem solving and critical thinking skills
• Must be motivated with a positive attitude and exceptional work ethic

Job Type: Full-time

Pay: $20.00 - $28.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Disability insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Ability to commute/relocate:

• Chappaqua, NY 10514: Reliably commute or planning to relocate before starting work (Required)

Work Location: Hybrid remote in Chappaqua, NY 10514

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