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Credentialing Specialist

Pride Health
locationBOWLING GREEN, NY 10004, USA
PublishedPublished: 6/14/2022
Healthcare
Full Time

Job Description

Job Description

Job Title: Credentialing Coordinator
Location New York 10004

Shift: 9 am to 5 pm

Contract: 2-month assignment with possible extension

Duties & Responsibilities:

Quality Coordinator/Specialist – Credentialing

Requirements:

  • Education: Bachelor's Degree (BA) required

  • Experience: 1–2 years in credentialing

  • Preferred Experience:

    • Strong knowledge and hands-on experience with OPPE/FPPE processes

    • Experience using MD Stat Peer Review software

  • Certifications (Preferred):

    • CPMSM (Certified Professional Medical Services Management)

    • CPCS (Certified Provider Credentialing Specialist)

Key Responsibilities:

  • Facilitate Peer Review, OPPE, and FPPE processes using MD Stat software

  • Assign performance cards and reviewers in MD Stat

  • Analyze, extract, and report on data related to professional practice evaluations

  • Interpret and ensure compliance with accrediting and regulatory agencies

  • Maintain up-to-date knowledge of statutes, laws, and standards related to credentialing

Credentialing Specialist Duties:

  • Manage all aspects of provider credentialing, including:

    • Initial appointments and reappointments

    • Credential audits

    • Clinical privileging for Medical Staff, Allied Health Professionals, and other providers

  • Utilize MDStaff credentialing software to perform and monitor credentialing/background checks

  • Ensure accuracy and integrity of credentialing data

  • Interpret and apply policies, hospital bylaws, and relevant regulations

Preferred Tools:

  • MD Stat Peer Review software

  • MDStaff credentialing platform

Please let me know if you're interested or have any questions. Looking forward to hearing from you! Email your Resumes to vrunda.sutaria@pride-health.com or call on (917)-444-3132.

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.

Company Description

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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