Job Title: Provider Credentialing Specialist

Pay: $30-$34 an hr | Bi-weekly

Job Type:

• Onsite in Hackettstown NJ

Shift Options:

• 8a 4p Looking for someone with Provider Credentialing knowledge/Not insurance credentialing

Provider Credentialing Specialist Overview:

• Enforce regulatory compliance and quality assurance
• Prepare and maintain reports of credentialing activities such as accreditation, membership or facility privileges
• Ensure that all information meets legal, federal and state guidelines when processing applications
• Responsible for carrying out various credentialing processes in relation to physicians and allied health practitioners
• Process applications for initials applicants as well as reappointments (approximately 125-200 quarterly)
• Collect and process significant amounts of verification and accreditation information Maintain and update accurate information in the Echo database (includes education, training, experience, licensure)
• Prepare material for Credentials Committee meeting, MEC as well as Board of Trustees meeting
• Sets up and maintains provider information in Echo Maintains confidentiality of provider information
• Ensure compliance with the Bylaws at each location as it pertains to the credentialing process
• Schedule, and on occasion attend and take minutes for site based medical staff department meetings
• Process and collect dues for the site based medical staff
• Compiles and maintains current and accurate data for all providers
• Sets up and maintains provider information in online credentialing database
• Tracks license and certification expirations for all providers
• Maintains confidentiality of provider information All other duties as assigned

Provider Credentialing Specialist Qualifications:

• Knowledge of the credentialing process required
• Ability to organize and prioritize work and manage multiple priorities
• Excellent verbal and written communication skills
• Ability to research and analyze data
• Ability to work independently
• Ability to establish and maintain effective working relationships
• Excellent computer skills

Provider Credentialing Specialist Benefits:

• Benefits are available to full-time employees after 90 days of employment and include health, optical, dental, life, and short-term disability insurance.
• A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates.

How to Apply:

If you are interested in this position, please apply OR submit your resume to:

Saw Hlaing | shlaing@alinestaffing.com | 412-790-5425