Title: Part Time Credentialing Specialist
ABOUT THE COMPANY:
- Our client is a leading non-profit organization who's mission is focused around providing social support services to underserved racial and ethnic minorities in the community. They provide coordinated health care and supportive services to help individuals, families, and communities build strength, resilience, achieve wellness, and live healthy, productive lives.
- They are looking for an accounts payable clerk to join their collaborative and diverse team.
- Great opportunity to join an organization who prioritizes their mission and growth within the company.
- They are located in Brooklyn near multiple lines of public transportation
OVERVIEW OF THE ROLE:
- Work with individual providers to ensure each provider's CAQH, PECOS, NPPES database files are updated timely according to the schedule published by CMS Medicare/ Medicaid and Managed Care Organizations regulations.
- Ensure contracted Managed Care Organization's portals are up to date including facilities and individual providers' profiles.
- Provide updated list of credentialed individual providers and facilities
- Complete primary source verification and prepare files for committee review
- Ensure all credentialing and recredentialing reports are completed timely for review and submission
QUALIFICATIONS:
- Prior experience with credentialing within a sector of healthcare